Organization Active NPI

Quintana Medical Transport Inc

  • Land Ambulance
  • San Sebastian, PR
National Provider Identifier
1073264263
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
QUINTANA MEDICAL TRANSPORT INC
Practice address
232 Calle Ruiz Belvis
San Sebastian, PR 00685-2333
Phone
(787) 213-4424
Fax
(939) 697-6080
NPI assigned
Jan 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
Mrs. Yahaira Class
Title
Vicepresidenta
Phone
(787) 213-4424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

232 Calle Ruiz Belvis
San Sebastian, PR 00685-2333

Mailing address

RR 1 Box 40035
San Sebastian, PR 00685-6114
Phone (787) 213-4424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220415000547 PR Part B Supplier - Ambulance Service Supplier 3072909225 Practice locations: San Sebastian, PR

National Provider Directory

National Provider Directory

Locations

232 Calle Ruiz Belvis
San Sebastian, PR 00685
Phone (787) 213-4424

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1073264263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 40035",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006856114",
            "telephone_number": "787-213-4424",
            "fax_number": "939-697-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 CALLE RUIZ BELVIS",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852333",
            "telephone_number": "787-213-4424",
            "fax_number": "939-697-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTANA MEDICAL TRANSPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "CLASS",
        "authorized_official_first_name": "YAHAIRA",
        "authorized_official_title_or_position": "VICEPRESIDENTA",
        "authorized_official_telephone_number": "787-213-4424",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.