Organization Active NPI

Maf Amb Services 1 Corp

  • Ambulance
  • Arecibo, PR
National Provider Identifier
1063657427
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
TC-AMB-563 Issued in PR
Legal business name
MAF AMB SERVICES 1 CORP
Practice address
54 Calle 14
Urb Victor Rojas II
Arecibo, PR 00612-3007
Phone
(939) 639-6697
Fax
(787) 650-4296
NPI assigned
Dec 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Authorized official

Name
Maximo E Faulkner Rodriguez, TEMP
Title
Presidente
Phone
(939) 639-6697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X TC-AMB-563 PR Primary

Addresses

Primary practice location

54 Calle 14
Urb Victor Rojas II
Arecibo, PR 00612-3007

Mailing address

PO Box 141661
Arecibo, PR 00614-1661
Phone (787) 639-6697

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090120000322 PR Part B Supplier - Ambulance Service Supplier 9537222468 Practice locations: Arecibo, PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1063657427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141661",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006141661",
            "telephone_number": "787-639-6697",
            "fax_number": "787-650-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 CALLE 14",
            "address_2": "URB VICTOR ROJAS II",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006123007",
            "telephone_number": "939-639-6697",
            "fax_number": "787-650-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAF AMB SERVICES 1 CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "FAULKNER RODRIGUEZ",
        "authorized_official_first_name": "MAXIMO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "939-639-6697",
        "authorized_official_credential": "TEMP"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PR",
            "license": "TC-AMB-563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.