Active NPI
Ludy E. Reyes Gonzalez
- Land Ambulance
- Juncos, PR
National Provider Identifier
1609437037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 958879
- Practice address
- I18 Calle Cindya
Urb El Encanto
Juncos, PR 00777 - Phone
- (787) 530-8385
- Fax
- (787) 703-0508
- NPI assigned
- Jun 26, 2019
- Last updated
- Jun 26, 2019
- 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 | 958879 | PR | Primary |
Addresses
Primary practice location
I18 Calle Cindya
Urb El Encanto
Juncos, PR 00777
Mailing address
Urb El Encanto
918 Calle Cindya
Juncos, PR 00777
Phone (787) 530-8385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1047274-0013 | Other | PR | CERTIFICADO REGISTRO DE COMERCIANTE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Juncos | Direct |
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 |
|---|---|---|---|
| 958879 | PR | MD | Land Ambulance |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PMS Als LLC | Land Transport | Current | Accepting new patients |
| Pereira Medical System Inc | Land Transport | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1609437037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB EL ENCANTO",
"address_2": "918 CALLE CINDYA",
"city": "JUNCOS",
"state": "PR",
"postal_code": "00777",
"telephone_number": "787-530-8385",
"fax_number": "787-703-0508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "I18 CALLE CINDYA",
"address_2": "URB EL ENCANTO",
"city": "JUNCOS",
"state": "PR",
"postal_code": "00777",
"telephone_number": "787-530-8385",
"fax_number": "787-703-0508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES GONZALEZ",
"first_name": "LUDY",
"middle_name": "E.",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-26",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PR",
"license": "958879",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICADO REGISTRO DE COMERCIANTE",
"identifier": "1047274-0013",
"state": "PR"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Juncos",
"affiliation": "N",
"endpointDescription": "enid0105@yahoo.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "Calle Cindya I-18",
"address_2": "Urb. El Encanto",
"city": "Juncos",
"state": "PR",
"country_code": "US",
"postal_code": "00777",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Juncos, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.