Individual provider Active NPI

David De Jesus Rivera

  • Basic Emergency Medical Technician
  • Comerio, PR
National Provider Identifier
1851147748
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
1833 Issued in PR
Practice address
Hc02Box5370
Car 779 KM 7.3
Comerio, PR 00782
Phone
(787) 383-6822
NPI assigned
Apr 30, 2024
Last updated
May 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

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

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

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
1833PRMDBasic Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Mussa Ambulance LLC CurrentSince Jun 9, 2024 Accepting new patients

Locations

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

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": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1851147748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC02BOX5370",
            "address_2": "CAR 779 KM 7.3",
            "city": "COMERIO",
            "state": "PR",
            "postal_code": "00782",
            "telephone_number": "787-383-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC02BOX5370",
            "address_2": "CAR 779 KM 7.3",
            "city": "COMERIO",
            "state": "PR",
            "postal_code": "00782",
            "telephone_number": "787-383-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS RIVERA",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "PR",
            "license": "1833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Comerio, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.