Individual provider Active NPI

Edwin Rosario

  • Land Ambulance
  • Aguada, PR
National Provider Identifier
1710168455
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TC AMB 480 Issued in PR
Practice address
Carr 417 KM 25.5 Int
Bo. Malpaso
Aguada, PR 00602
Phone
(939) 644-6709
Fax
(787) 818-0429
NPI assigned
Nov 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X P1377 PR
Land Ambulance 3416L0300X TC AMB 480 PR Primary

Addresses

Primary practice location

Carr 417 KM 25.5 Int
Bo. Malpaso
Aguada, PR 00602

Mailing address

HC 56 Box 34266
Aguada, PR 00602-9772
Phone (939) 644-6709

Other names 1

  • Rosario Medical Transport Professional name

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

LicenseStateTypeSpecialty
P1377PRMDParamedic
TC AMB 480PRMDLand Ambulance

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1710168455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 56 BOX 34266",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029772",
            "telephone_number": "939-644-6709",
            "fax_number": "787-818-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 417 KM 25.5 INT",
            "address_2": "BO. MALPASO",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "939-644-6709",
            "fax_number": "787-818-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO",
        "first_name": "EDWIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-23",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "PR",
            "license": "P1377",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC AMB 480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSARIO",
            "last_name": "TRANSPORT",
            "middle_name": "MEDICAL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Aguada, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.

Verify at the official NPI Registry.