Active NPI
Shirley Chavez
- Land Ambulance
- Vega Baja, PR
National Provider Identifier
1467640326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- TC AMB 481
- Practice address
- Urb Monte Carlo a-9
Vega Baja, PR 00693 - Phone
- (787) 517-5107
- NPI assigned
- Oct 4, 2007
- 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 481 | PR | Primary |
Addresses
Primary practice location
Urb Monte Carlo a-9
Vega Baja, PR 00693
Mailing address
PO Box 4002
PMB 140
Vega Alta, PR 00692-4002
Phone (787) 517-5107
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TC AMB 481 | PR | MD | Land Ambulance |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oscar J. Rivera Marrero | 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": "1191456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192492800000",
"number": "1467640326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4002",
"address_2": "PMB 140",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "006924002",
"telephone_number": "787-517-5107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB MONTE CARLO A-9",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "00693",
"telephone_number": "787-517-5107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "SHIRLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-04",
"last_updated": "2007-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PR",
"license": "TC AMB 481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vega Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.