Raul Medina

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

TC AMB 307 Issued in PR

Legal business name

RAUL MEDINA

Doing business as

Medina Medical Transport del Este

Practice address

KM 27.0
Road # PR-3
Rio Grande, PR 00745

Phone

(787) 367-2375

NPI assigned

Aug 17, 2006

Last updated

Sep 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raul Medina

Title

Owner

Phone

(787) 367-2375

Specialties & licenses 1

Addresses

Other names 1

• MEDINA MEDICAL TRANSPORT DEL ESTE Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1699889915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007290510",
            "telephone_number": "787-388-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KM 27.0",
            "address_2": "ROAD # PR-3",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-367-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL MEDINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-367-2375"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC AMB 307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDINA MEDICAL TRANSPORT DEL ESTE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEDINA MEDICAL TRANSPORT DEL ESTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Rio Grande, PR
• Providers in Rio Grande, 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 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.