NPIMap

Organization Active NPI

Evolution Medical Ambulance Corp

  • Land Ambulance
  • San Sebastian, PR
National Provider Identifier
1104152099
Registry record updated Sep 1, 2010
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Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
CP- 4521 Issued in PR
Legal business name
EVOLUTION MEDICAL AMBULANCE CORP
Practice address
Carr 111 KM 26 HM1
Piedras Blancas
San Sebastian, PR 00685
Phone
(787) 381-4475
NPI assigned
Oct 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Marisol Rivera Jimenez
Title
Propietaria
Phone
(787) 381-4475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X CP- 4521 PR Primary

Addresses

Primary practice location

Carr 111 KM 26 HM1
Piedras Blancas
San Sebastian, PR 00685

Mailing address

P O Box 2234
San Sebastian, PR 00685
Phone (787) 381-4475

Other names 1

  • EVOLUTION MEDICAL AMBULANCE CORP Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1104152099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 2234",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-381-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 111 KM 26 HM1",
            "address_2": "PIEDRAS BLANCAS",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-381-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION MEDICAL AMBULANCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "RIVERA JIMENEZ",
        "authorized_official_first_name": "MARISOL",
        "authorized_official_title_or_position": "PROPIETARIA",
        "authorized_official_telephone_number": "787-381-4475"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "CP- 4521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVOLUTION MEDICAL AMBULANCE CORP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.