NPIMap

Organization Active NPI

Edwin Irizarry Rodriguez

  • Land Ambulance
  • Guaynabo, PR
National Provider Identifier
1790916104
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TCAMB 550 Issued in PR
Legal business name
EDWIN IRIZARRY RODRIGUEZ
Practice address
HC 01 Box 6168
Guaynabo, PR 00971-0000
Phone
(787) 239-5463
NPI assigned
Aug 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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

Authorized official

Name
Edwin Irizarry RodriguezNPI 1376780155
Title
President
Phone
(787) 239-5463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TCAMB 550 PR Primary

Addresses

Primary practice location

HC 01 Box 6168
Guaynabo, PR 00971-0000

Mailing address

Carr 833 KM 3.6 Ramal 174
Bo. Guaraguao
Guaynabo, PR 00971-9541
Phone (787) 239-5463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090803000239 PR Part B Supplier - Ambulance Service Supplier 4082767462 Practice locations: Guaynabo, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1790916104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR 833 KM 3.6 RAMAL 174",
            "address_2": "BO. GUARAGUAO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009719541",
            "telephone_number": "787-239-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 01 BOX 6168",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009710000",
            "telephone_number": "787-239-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN IRIZARRY RODRIGUEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "IRIZARRY RODRIGUEZ",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-239-5463"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TCAMB 550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.