Active NPI
Efrain Gonzalez-Grajales
- Land Ambulance
- Aguadilla, PR
National Provider Identifier
1629016563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- P1080
- Practice address
- Carr 125, KM 05 Int
Camino Cordero, Bo. Palmar
Aguadilla, PR 00603 - Phone
- (787) 460-9077
- Fax
- (787) 252-1385
- NPI assigned
- Jun 3, 2006
- Sex
- Male
- 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 | P1080 | PR | Primary |
Addresses
Primary practice location
Carr 125, KM 05 Int
Camino Cordero, Bo. Palmar
Aguadilla, PR 00603
Mailing address
HC 02 Box 21953
Aguadilla, PR 00603-0507
Phone (787) 460-9077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70521 | Other | PR | PREFERRED MEDICARE CHOICE |
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 |
|---|---|---|---|
| P1080 | PR | MD | Land Ambulance |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Efrain Gonzalez Grajales | 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": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288742400000",
"number": "1629016563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 02 BOX 21953",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006030507",
"telephone_number": "787-460-9077",
"fax_number": "787-252-1385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 125, KM 05 INT",
"address_2": "CAMINO CORDERO, BO. PALMAR",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-460-9077",
"fax_number": "787-252-1385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ-GRAJALES",
"first_name": "EFRAIN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2010-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PR",
"license": "P1080",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED MEDICARE CHOICE",
"identifier": "70521",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aguadilla, PR
- Erika N Gonzalez Sosa, MD
- Darleen Gonzalez Valentin, MD
- Johannie Gonzalez Velazquez, LCDA
- Migdalia Gonzalez Villarrubia
- Haydee Gonzalez-Acevedo
- Arlene Gonzalez, SW
- Carmen M Gonzalez, PHARMACIST
- Christian D Gonzalez, PHYSICIAN ASSISTANT
- Madeline Gonzalez, TECHNICIAN PHARMACIS
- Maria Ivette Gonzalez, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.