NPIMap

Organization Active NPI

Municipality of San Juan PR

  • Land Ambulance
  • San Juan, PR
National Provider Identifier
1093762650
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TCAMB240 Issued in PR
Legal business name
MUNICIPALITY OF SAN JUAN PR
Practice address
Cond de Diego
San Juan, PR 00923-3001
Phone
(787) 765-4881
Fax
(787) 753-9109
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Carlos A Acevedo
Title
Director Ejecutivo
Phone
(787) 765-4881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TCAMB240 PR Primary

Addresses

Primary practice location

Cond de Diego
San Juan, PR 00923-3001

Mailing address

PO Box 70179
San Juan, PR 00936-8179
Phone (787) 765-4881

Other identifiers 1

IdentifierTypeStateIssuer
9002782OtherPRACAA

Other names 1

  • Emergencias Medicas de San Juan Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050329000543 PR Part B Supplier - Ambulance Service Supplier 5597711945 Practice locations: San Juan, PR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
CDT Dr a J Garcia63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093762650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70179",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368179",
            "telephone_number": "787-765-4881",
            "fax_number": "787-753-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND DE DIEGO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233001",
            "telephone_number": "787-765-4881",
            "fax_number": "787-753-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNICIPALITY OF SAN JUAN PR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2022-07-21",
        "certification_date": "2020-05-16",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR EJECUTIVO",
        "authorized_official_telephone_number": "787-765-4881"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TCAMB240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACAA",
            "identifier": "9002782",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergencias Medicas de San Juan",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Emergencias Medicas de San Juan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.