Individual provider Active NPI

Raul Emanuel Zambrana Valenzuela

  • Student in an Organized Health Care Education/Training Program
  • Ponce, PR
National Provider Identifier
1952052482
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Quintas de Monserrate
Calle Gaudi F7
Ponce, PR 00730
Phone
(305) 923-6020
NPI assigned
Jan 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PR Primary

Addresses

Primary practice location

Quintas de Monserrate
Calle Gaudi F7
Ponce, PR 00730

Mailing address

Quintas de Monserrate
Calle Gaudi F7
Ponce, PR 00730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1952052482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "QUINTAS DE MONSERRATE",
            "address_2": "CALLE GAUDI F7",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "QUINTAS DE MONSERRATE",
            "address_2": "CALLE GAUDI F7",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00730",
            "telephone_number": "305-923-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMBRANA VALENZUELA",
        "first_name": "RAUL",
        "middle_name": "EMANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.