Legacy Critical Care Ambulance LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LEGACY CRITICAL CARE AMBULANCE LLC

Practice address

Carr 31 Marginal 56C Urb Valencia I
Juncos, PR 00777

Phone

(787) 922-6955

NPI assigned

Nov 21, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gretchen M Figueroa

Title

Presidente

Phone

(787) 922-6955

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1053136309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1872",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007771872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 31 MARGINAL 56C URB VALENCIA I",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "00777",
            "telephone_number": "787-922-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CRITICAL CARE AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-922-6955"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marinaida La Salle Rodriguez, MD
• Laboratorio Clinico Juncos; Inc
• Laboratorio Clinico Valenciano del Este, Inc.
• Miguel A Laboy Pabon, M.D.
• Erika Lebron
• Jeanette Marie Lind Alicea
• Maria De Los a Lindor, RN
• Juan Manuel Lopez-Garcia, D.C.
• Marlene Lopez, PHARMD
• Carmen Taina Lorenzana

• Land Ambulance in Juncos, PR
• Providers in Juncos, PR by specialty
• Land Ambulance in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.