NPIMap

David De Jesus Rivera

Individual provider Active NPI Basic Emergency Medical Technician · Comerio, PR

NPI 1851147748 · NPPES record last updated May 29, 2024

Key facts

NPI
1851147748
Entity type
Individual (NPI type 1)
Primary specialty
Basic Emergency Medical Technician 146N00000X
License
1833 (PR)
Practice address
Hc02Box5370
Car 779 KM 7.3
Comerio, PR 00782
Phone
(787) 383-6822
NPI assigned
Apr 30, 2024
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1833PRMDBasic Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Mussa Ambulance LLC Current
since Jun 9, 2024		 Accepting new patients

Locations

5370 HC 2
Comerio, PR 00782
Phone (787) 383-6822

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 1833 PR Yes

Addresses

Primary practice location

Hc02Box5370
Car 779 KM 7.3
Comerio, PR 00782

Mailing address

Hc02Box5370
Car 779 KM 7.3
Comerio, PR 00782
Phone (787) 383-6822

Other providers in Comerio, PR

All providers in Comerio, PR · Basic Emergency Medical Technician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.