Active NPI
Hector Martinez Bonet
- Ambulance
- Quebradillas, PR
National Provider Identifier
1710062385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 457618
- Practice address
- Urb.Kennedy Calle Eduardo Abrams#50
Quebradillas, PR 00678 - Phone
- (787) 895-3578
- NPI assigned
- Oct 25, 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 |
|---|---|---|---|---|
| Ambulance | 341600000X | 457618 | PR | Primary |
Addresses
Primary practice location
Urb.Kennedy Calle Eduardo Abrams#50
Quebradillas, PR 00678
Mailing address
Urb.Kennedy Calle Eduardo Abrams#50
Quebradillas, PR 00678
Phone (787) 454-9777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710062385 | Other | PR | MCS CLASSICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070215000054 | PR | Part B Supplier - Ambulance Service Supplier | 5496757700 | Practice locations: Quebradillas, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 457618 | PR | MD | Ambulance |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450656000000",
"number": "1710062385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB.KENNEDY CALLE EDUARDO ABRAMS#50",
"city": "QUEBRADILLAS",
"state": "PR",
"postal_code": "00678",
"telephone_number": "787-454-9777",
"fax_number": "787-895-3578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB.KENNEDY CALLE EDUARDO ABRAMS#50",
"city": "QUEBRADILLAS",
"state": "PR",
"postal_code": "00678",
"telephone_number": "787-895-3578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ BONET",
"first_name": "HECTOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2015-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "PR",
"license": "457618",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCS CLASSICARE",
"identifier": "1710062385",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Quebradillas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.