NPIMap

Organization Active NPI

Pedro J Nevarez Bruno

  • Land Ambulance
  • Corozal, PR
National Provider Identifier
1457599110
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TC-AMB575 Issued in PR
Legal business name
PEDRO J NEVAREZ BRUNO
Practice address
Urb.Cibuco
Calle 1 C-13
Corozal, PR 00783-1341
Phone
(787) 451-2727
Fax
(787) 785-6097
NPI assigned
Feb 3, 2009
Reactivated
May 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pedro Javier NevarezNPI 1932343449
Title
Owner
Phone
(787) 642-6272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TC-AMB575 PR Primary

Addresses

Primary practice location

Urb.Cibuco
Calle 1 C-13
Corozal, PR 00783-1341

Mailing address

PO Box 3061
Bayamon, PR 00960-3061
Phone (787) 642-6272

Other names 1

  • NEVAREZ AMBULANCE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090729000826 PR Part B Supplier - Ambulance Service Supplier 5597818104 Practice locations: Corozal, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1457599110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3061",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009603061",
            "telephone_number": "787-642-6272",
            "fax_number": "787-785-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB.CIBUCO",
            "address_2": "CALLE 1 C-13",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007831341",
            "telephone_number": "787-451-2727",
            "fax_number": "787-785-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO J NEVAREZ BRUNO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2013-04-11",
        "deactivation_date": "2009-05-01",
        "reactivation_date": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "NEVAREZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-642-6272"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC-AMB575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEVAREZ AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corozal, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.