Organization Active NPI

Pro Health Ambulance Services, Inc

  • Land Ambulance
  • San Juan, PR
National Provider Identifier
1053545137
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PRO HEALTH AMBULANCE SERVICES, INC
Practice address
1386 Ave San Ignacio
San Juan, PR 00921-3828
Phone
(787) 212-4700
NPI assigned
May 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Authorized official

Name
Brenda Reyes
Title
Presidente
Phone
(787) 212-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1386 Ave San Ignacio
San Juan, PR 00921-3828

Mailing address

PO Box 7017
Caguas, PR 00726-7017
Phone (787) 212-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090707000581 PR Part B Supplier - Ambulance Service Supplier 0749331569 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

R7 Ave Luis Munoz Marin
#4
Caguas, PR 00725
Phone (787) 212-4700

1386 Ave San Ignacio
San Juan, PR 00921
Phone (787) 212-4700

1386 Ave San Ignacio
#1
San Juan, PR 00921
Phone (787) 212-4700

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1053545137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7017",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007267017",
            "telephone_number": "787-212-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1386 AVE SAN IGNACIO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213828",
            "telephone_number": "787-212-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO HEALTH AMBULANCE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-212-4700"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "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 Dec 3, 2021; 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.