Active NPI
Madeline Poventud
- Land Ambulance
- Aguada, PR
National Provider Identifier
1457500209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- TC AMB 274
- Practice address
- Carretera 417 Interseccion 4417
KM 0 7 Bo Mamey
Aguada, PR 00602 - Phone
- (787) 252-5086
- NPI assigned
- Sep 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | TC AMB 274 | PR | Primary |
Addresses
Primary practice location
Carretera 417 Interseccion 4417
KM 0 7 Bo Mamey
Aguada, PR 00602
Mailing address
Apartado 915
Aguada, PR 00602
Phone (787) 252-5086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TC AMB 274 | PR | MD | Land Ambulance |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Life Support Corp. | Land Transport | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1457500209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "APARTADO 915",
"city": "AGUADA",
"state": "PR",
"postal_code": "00602",
"telephone_number": "787-252-5086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 417 INTERSECCION 4417",
"address_2": "KM 0 7 BO MAMEY",
"city": "AGUADA",
"state": "PR",
"postal_code": "00602",
"telephone_number": "787-252-5086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POVENTUD",
"first_name": "MADELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-17",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PR",
"license": "TC AMB 274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aguada, PR
- Pharmamed International Corp
- Iris Jeannette Pineiro, PSY. D.
- Michelle Marie Pino Amoros
- Policlinica Dr. Manuel E. Diaz Soto
- Navid Pour-Ahmadi, M.D.
- Powerfull Minds Coach II Inc
- Karina Giselle Pozzi Lorenzo, MS SLP
- Prestige Ambulance Emergency Care LLC.
- Prevntive Medical Alliance Inc
- Primary Life Support Corp.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.