Active NPI
Ligthting Ambulance Transport Corp
- Land Ambulance
- Cayey, PR
National Provider Identifier
1063692671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- TCAMB-461
- Legal business name
- LIGTHTING AMBULANCE TRANSPORT CORP
- Practice address
- G23 Calle C
Urb. Reparto Montellano
Cayey, PR 00736-4133 - Phone
- (787) 738-9657
- NPI assigned
- Nov 12, 2007
- 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
- Derek Lopez
- Title
- President
- Phone
- (787) 738-9657
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | TCAMB-461 | PR | Primary |
Addresses
Primary practice location
G23 Calle C
Urb. Reparto Montellano
Cayey, PR 00736-4133
Mailing address
PO Box 6400
Cayey, PR 00737-6400
Phone (787) 738-9657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TCAMB-461 | Other | PR | STATE LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194825600000",
"number": "1063692671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6400",
"city": "CAYEY",
"state": "PR",
"postal_code": "007376400",
"telephone_number": "787-738-9657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G23 CALLE C",
"address_2": "URB. REPARTO MONTELLANO",
"city": "CAYEY",
"state": "PR",
"postal_code": "007364133",
"telephone_number": "787-738-9657"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGTHTING AMBULANCE TRANSPORT CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-12",
"last_updated": "2007-11-12",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "DEREK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-738-9657"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PR",
"license": "TCAMB-461",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "TCAMB-461",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cayey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.