Active NPI
Obdulio Segarra Velez
- Land Ambulance
- San Sebastian, PR
National Provider Identifier
1710153218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- TC AMB 336
- Practice address
- Carretera 125 Interior KM 18 6
Bo Pozas Central
San Sebastian, PR 00685-5077 - Phone
- (787) 896-0008
- Fax
- (787) 896-5806
- NPI assigned
- May 5, 2008
- Last updated
- May 5, 2008
- 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 |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | TC AMB 336 | PR | Primary |
Addresses
Primary practice location
Carretera 125 Interior KM 18 6
Bo Pozas Central
San Sebastian, PR 00685-5077
Mailing address
PO Box 5077
San Sebastian, PR 00685-5077
Phone (787) 896-0008
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
| License | State | Type | Specialty |
|---|---|---|---|
| TC AMB 336 | PR | MD | Land Ambulance |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Segarras Ambulance Inc | Land Transport | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1710153218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5077",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006855077",
"telephone_number": "787-896-0008",
"fax_number": "787-896-5806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 125 INTERIOR KM 18 6",
"address_2": "BO POZAS CENTRAL",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006855077",
"telephone_number": "787-896-0008",
"fax_number": "787-896-5806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGARRA VELEZ",
"first_name": "OBDULIO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-05",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PR",
"license": "TC AMB 336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Sebastian, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.