Individual provider Active NPI

Johnny Colon Rodriguez, 1320B

  • Basic Emergency Medical Technician
  • Guaynabo, PR
National Provider Identifier
1649487679
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
1320B Issued in PR
Practice address
90 Calle San Martin
Guaynabo, PR 00968-1400
Phone
(787) 754-2550
Fax
(787) 781-2063
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 1320B PR Primary

Addresses

Primary practice location

90 Calle San Martin
Guaynabo, PR 00968-1400

Mailing address

PO Box 2161
San Juan, PR 00922-2161
Phone (787) 785-4255

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

LicenseStateTypeSpecialty
1320BPRMDBasic Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649487679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2161",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009222161",
            "telephone_number": "787-785-4255",
            "fax_number": "787-781-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CALLE SAN MARTIN",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009681400",
            "telephone_number": "787-754-2550",
            "fax_number": "787-781-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON RODRIGUEZ",
        "first_name": "JOHNNY",
        "credential": "1320B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "PR",
            "license": "1320B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.