Organization Active NPI

Genesis Medical Transport Corp

  • Land Ambulance
  • San Juan, PR
National Provider Identifier
1003067943
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TCAMB518 Issued in PR
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

Updated by the provider on Oct 9, 2008

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.