William de Jesus Camacho

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

TCAMB326 Issued in PR

Legal business name

WILLIAM DE JESUS CAMACHO

Doing business as

Pre Hospital Emergency Resoponse System

Practice address

Carr. 111 Int 123
Utuado, PR 00641-2091

Phone

(787) 933-6703

Fax

(787) 933-6703

NPI assigned

May 31, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. William De Jesus

Title

Owner Ship

Phone

(787) 933-6703

Specialties & licenses 1

Addresses

Other names 1

• PRE HOSPITAL EMERGENCY RESOPONSE SYSTEM Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1689611873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2091",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006412091",
            "telephone_number": "787-933-6703",
            "fax_number": "787-933-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 111 INT 123",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006412091",
            "telephone_number": "787-933-6703",
            "fax_number": "787-933-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM DE JESUS CAMACHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER SHIP",
        "authorized_official_telephone_number": "787-933-6703",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TCAMB326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRE HOSPITAL EMERGENCY RESOPONSE SYSTEM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marielys Villafane, M.S.
• Wilmayra Villafane, MSW
• Vmed Transport LLC
• Walgreen Co (Walgreens #00185)
• WH Psychotherapy and Billing Center
• Your Vision Optical

• Land Ambulance in Utuado, PR
• Providers in Utuado, PR by specialty
• Land Ambulance in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.