Organization Active NPI

Priority Life Ambulance

  • Land Ambulance
  • Toa Alta, PR
National Provider Identifier
1104504026
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PRIORITY LIFE AMBULANCE
Practice address
Urb Villas del Toa Calle
Begonia Num 17
Toa Alta, PR 00953
Phone
(939) 225-3214
NPI assigned
Jul 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Authorized official

Name
Jaime Alexis Mojica-Morales
Title
President
Phone
(787) 212-8223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

Urb Villas del Toa Calle
Begonia Num 17
Toa Alta, PR 00953

Mailing address

RR 1 Box 16483
Toa Alta, PR 00953-8119
Phone (939) 225-3214

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241010004110 PR Part B Supplier - Ambulance Service Supplier 7315479607 Practice locations: Toa Alta, 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": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1104504026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 16483",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009538119",
            "telephone_number": "939-225-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB VILLAS DEL TOA CALLE",
            "address_2": "BEGONIA NUM 17",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "939-225-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY LIFE AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "MOJICA-MORALES",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-212-8223"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.