Active NPI
Promedical Ambulance Service Inc
- Land Ambulance
- Penuelas, PR
National Provider Identifier
1073205605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- PROMEDICAL AMBULANCE SERVICE INC
- Practice address
- Barrio Cotto Quebrada Sector Los Castro
Carretera 383 KM 0.5
Penuelas, PR 00624 - Phone
- (787) 340-3999
- NPI assigned
- May 23, 2023
- 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
- Jesus Miguel Castro
- Title
- President
- Phone
- (787) 340-3999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
Barrio Cotto Quebrada Sector Los Castro
Carretera 383 KM 0.5
Penuelas, PR 00624
Mailing address
PO Box 1035
Penuelas, PR 00624-1035
Phone (787) 340-3999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241125002688 | PR | Part B Supplier - Ambulance Service Supplier | 0941735138 | Practice locations: Penuelas, PR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684800000000",
"number": "1073205605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1035",
"city": "PENUELAS",
"state": "PR",
"postal_code": "006241035",
"telephone_number": "787-340-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BARRIO COTTO QUEBRADA SECTOR LOS CASTRO",
"address_2": "CARRETERA 383 KM 0.5",
"city": "PENUELAS",
"state": "PR",
"postal_code": "00624",
"telephone_number": "787-340-3999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROMEDICAL AMBULANCE SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-23",
"last_updated": "2023-05-23",
"certification_date": "2023-05-12",
"status": "A",
"authorized_official_last_name": "CASTRO",
"authorized_official_first_name": "JESUS",
"authorized_official_middle_name": "MIGUEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-340-3999"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Penuelas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.