Individual provider Active NPI

Elizabeth C. Rolon

  • Land Ambulance
  • Humacao, PR
National Provider Identifier
1700057296
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Practice address
Aa2 Ave Tejas
Correo Villa PMB 127
Humacao, PR 00791-4351
Phone
(787) 530-8966
Fax
(787) 266-2582
NPI assigned
Mar 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

Aa2 Ave Tejas
Correo Villa PMB 127
Humacao, PR 00791-4351

Mailing address

Aa2 Ave Tejas
Correo Villa PMB 127
Humacao, PR 00791-4351
Phone (787) 530-8966

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

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1700057296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AA2 AVE TEJAS",
            "address_2": "CORREO VILLA PMB 127",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914351",
            "telephone_number": "787-530-8966",
            "fax_number": "787-266-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AA2 AVE TEJAS",
            "address_2": "CORREO VILLA PMB 127",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914351",
            "telephone_number": "787-530-8966",
            "fax_number": "787-266-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLON",
        "first_name": "ELIZABETH",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-12",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.