Individual provider Active NPI

Jose Luis Gabriel, EMT

  • Paramedic
  • Arecibo, PR
National Provider Identifier
1568696052
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
2266 Issued in PR
Practice address
Calle Pedro Mora Acosta # 40
Urb. San Lorenzo
Arecibo, PR 00614
Phone
(787) 880-7878
Fax
(787) 881-6464
NPI assigned
May 12, 2009
Last updated
May 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 2266 PR Primary

Addresses

Primary practice location

Calle Pedro Mora Acosta # 40
Urb. San Lorenzo
Arecibo, PR 00614

Mailing address

Hco1 Box 4770
Lares, PR 00669
Phone (787) 201-8554

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
Credentials
Emergency Medical Technician

State licenses

LicenseStateTypeSpecialty
2266PRMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1568696052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HCO1 BOX 4770",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-201-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PEDRO MORA ACOSTA # 40",
            "address_2": "URB. SAN LORENZO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00614",
            "telephone_number": "787-880-7878",
            "fax_number": "787-881-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "EMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "PR",
            "license": "2266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.