Organization Active NPI

Agosto Medical Transport, LLC

  • Land Ambulance
  • Juncos, PR
National Provider Identifier
1043061138
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20240726000261 PR Part B Supplier - Ambulance Service Supplier 0345786331 Practice locations: Juncos, PR

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.