Organization Active NPI

Promedical Ambulance Service Inc

  • Land Ambulance
  • Penuelas, PR
National Provider Identifier
1073205605
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on May 23, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20241125002688 PR Part B Supplier - Ambulance Service Supplier 0941735138 Practice locations: Penuelas, 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": "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.

Verify at the official NPI Registry.