Organization Active NPI

Musan Prehospital Care Inc

  • Land Ambulance
  • Arecibo, PR
National Provider Identifier
1073267936
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL SECURECLAIM Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230214000981 PR Part B Supplier - Ambulance Service Supplier 5698147924 Practice locations: Arecibo, 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": "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.

Verify at the official NPI Registry.