Active NPI
Musan Prehospital Care Inc
- Land Ambulance
- Arecibo, PR
National Provider Identifier
1073267936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- MUSAN PREHOSPITAL CARE INC
- Practice address
- Bo Hato Arriba Carr 129 KM 39.1
Arecibo, PR 00612 - Phone
- (787) 487-5720
- NPI assigned
- Feb 9, 2022
- Last updated
- Feb 9, 2022
- 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
- Ivelisse Santiago Rosario
- Title
- President
- Phone
- (787) 487-5720
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
Bo Hato Arriba Carr 129 KM 39.1
Arecibo, PR 00612
Mailing address
PO Box 640
Moca, PR 00676-0640
Phone (787) 487-5720
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | SECURECLAIM | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230214000981 | PR | Part B Supplier - Ambulance Service Supplier | 5698147924 | Practice locations: Arecibo, PR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644364800000",
"number": "1073267936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 640",
"city": "MOCA",
"state": "PR",
"postal_code": "006760640",
"telephone_number": "787-487-5720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO HATO ARRIBA CARR 129 KM 39.1",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-487-5720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUSAN PREHOSPITAL CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-09",
"last_updated": "2022-02-09",
"certification_date": "2022-01-13",
"status": "A",
"authorized_official_last_name": "SANTIAGO ROSARIO",
"authorized_official_first_name": "IVELISSE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-487-5720"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "SECURECLAIM",
"affiliation": "N",
"endpointDescription": "CLEARINGHOUSE",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "ARECIBO",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "BO HATO ARRIBA CARR 129 KM 39.1",
"city": "ARECIBO",
"state": "PR",
"country_code": "US",
"postal_code": "00612",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 9, 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.