Nazareno Enterprises and Services LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

NAZARENO ENTERPRISES AND SERVICES LLC

Practice address

28 Calle Santa Cruz
Bayamon, PR 00961-6906

Phone

(787) 740-2934

Fax

(787) 288-0704

NPI assigned

Jun 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Jose Matos, CPO, BOCPO

Title

President / Ceo

Phone

(787) 740-2934

Specialties & licenses 2

Addresses

Other names 2

• Nazareno Enterprises and Services LLC Former legal business name
• Nazareno Services Inc. Other name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Tax ID family

Nazareno Enterprises and Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nazareno Enterprises and Services LLC

  • Customized Equipment (DME)
  • Bayamon, PR
  • NPI 1740838986
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Island Rehab Center Corp

  • Clinic/Center
  • Bayamon, PR
  • NPI 1336173897

  Member Of

  NPD member

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1902808108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616906",
            "telephone_number": "787-740-2934",
            "fax_number": "787-288-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616906",
            "telephone_number": "787-740-2934",
            "fax_number": "787-288-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZARENO ENTERPRISES AND SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "787-740-2934",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO, BOCPO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nazareno Enterprises and Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Nazareno Services Inc.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Nazareno Services Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ernestina Navarro
• Paola Vanesa Navarro
• Marilyn Navedo-Rosado
• Neida Navedo
• Nazareno Enterprises and Services LLC
• Virna Marie Nazario Ayala
• Javier Andres Nazario Larrieu, M.D.
• Ana M Nazario, PT
• Stephanie Nazario, PSY.D
• NCP. Inc.

• Prosthetic/Orthotic Supplier in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Prosthetic/Orthotic Supplier in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.