Active NPI
Agosto Medical Transport, LLC
- Land Ambulance
- Juncos, PR
National Provider Identifier
1043061138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- AGOSTO MEDICAL TRANSPORT, LLC
- Practice address
- Bo Mango 188 Carr 31 Calle Pomarrosa
KM 19.8
Juncos, PR 00777 - Phone
- (787) 628-4863
- NPI assigned
- Mar 28, 2024
- Last updated
- Mar 28, 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
- Dashiramarie Agosto Cruz
- Title
- Asistente Administrativo
- Phone
- (787) 612-1681
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
Bo Mango 188 Carr 31 Calle Pomarrosa
KM 19.8
Juncos, PR 00777
Mailing address
HC 23 Box 6422
Juncos, PR 00777-9798
Phone (939) 326-8777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240726000261 | PR | Part B Supplier - Ambulance Service Supplier | 0345786331 | Practice locations: Juncos, PR |
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, and the practitioner matching its NPPES authorized official.
-
- Paramedic
- Juncos, PR
- NPI 1962117549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711584000000",
"number": "1043061138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 23 BOX 6422",
"city": "JUNCOS",
"state": "PR",
"postal_code": "007779798",
"telephone_number": "939-326-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO MANGO 188 CARR 31 CALLE POMARROSA",
"address_2": "KM 19.8",
"city": "JUNCOS",
"state": "PR",
"postal_code": "00777",
"telephone_number": "787-628-4863"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGOSTO MEDICAL TRANSPORT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-28",
"last_updated": "2024-03-28",
"certification_date": "2024-03-26",
"status": "A",
"authorized_official_last_name": "AGOSTO CRUZ",
"authorized_official_first_name": "DASHIRAMARIE",
"authorized_official_title_or_position": "ASISTENTE ADMINISTRATIVO",
"authorized_official_telephone_number": "787-612-1681"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Juncos, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.