Active NPI
Genesis Medical Transport Corp
- Land Ambulance
- San Juan, PR
National Provider Identifier
1003067943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- TCAMB518
- Legal business name
- GENESIS MEDICAL TRANSPORT CORP
- Practice address
- 201 Calle 43
Parcelas Falu
San Juan, PR 00924-3124 - Phone
- (787) 217-8040
- NPI assigned
- Oct 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Juan M Fonseca
- Title
- Presidente
- Phone
- (787) 217-8040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | TCAMB518 | PR | Primary |
Addresses
Primary practice location
201 Calle 43
Parcelas Falu
San Juan, PR 00924-3124
Mailing address
201 Calle 43
Parcelas Falu
San Juan, PR 00924-3124
Phone (787) 217-8040
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223510400000",
"number": "1003067943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 CALLE 43",
"address_2": "PARCELAS FALU",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009243124",
"telephone_number": "787-217-8040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CALLE 43",
"address_2": "PARCELAS FALU",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009243124",
"telephone_number": "787-217-8040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS MEDICAL TRANSPORT CORP",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-09",
"last_updated": "2008-10-09",
"status": "A",
"authorized_official_last_name": "FONSECA",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENTE",
"authorized_official_telephone_number": "787-217-8040",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PR",
"license": "TCAMB518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.