Active NPI
Life Medical Ambulance LLC
- Land Ambulance
- Vega Baja, PR
National Provider Identifier
1033955984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- LIFE MEDICAL AMBULANCE LLC
- Practice address
- Sector Arenales
2234 Calle Arcoiris
Vega Baja, PR 00693 - Phone
- (939) 331-5536
- NPI assigned
- Jul 1, 2024
- 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
- Bryan Gaetan Martinez Sr.
- Title
- Ceo
- Phone
- (787) 972-9082
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
Sector Arenales
2234 Calle Arcoiris
Vega Baja, PR 00693
Mailing address
Sector Arenales
2234 Calle Arcoiris
Vega Baja, PR 00693
Phone (939) 331-5536
Other names 1
- Life Medical Ambulance LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719792000000",
"number": "1033955984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SECTOR ARENALES",
"address_2": "2234 CALLE ARCOIRIS",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "00693",
"telephone_number": "939-331-5536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SECTOR ARENALES",
"address_2": "2234 CALLE ARCOIRIS",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "00693",
"telephone_number": "939-331-5536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE MEDICAL AMBULANCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-01",
"last_updated": "2024-07-01",
"certification_date": "2024-06-21",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "GAETAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "787-972-9082",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Life Medical Ambulance LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Vega Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.