Organization Active NPI

Edgar C Rodriguez Heredia

Doing business as Gloried Ambulance Service

  • Land Ambulance
  • Camuy, PR
National Provider Identifier
1114096047
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TC-AMB208 Issued in PR
Legal business name
EDGAR C RODRIGUEZ HEREDIA
Doing business as
Gloried Ambulance Service
Practice address
C20 Calle 4
Urb del Carmen
Camuy, PR 00627-2843
Phone
(787) 262-0501
NPI assigned
Nov 7, 2006
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Edgar Rodriguez
Title
President
Phone
(787) 262-0501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TC-AMB208 PR Primary

Addresses

Primary practice location

C20 Calle 4
Urb del Carmen
Camuy, PR 00627-2843

Mailing address

PO Box 566
Camuy, PR 00627-0566

Other names 1

  • GLORIED AMBULANCE SERVICE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1114096047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006270566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C20 CALLE 4",
            "address_2": "URB DEL CARMEN",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006272843",
            "telephone_number": "787-262-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR C RODRIGUEZ HEREDIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-262-0501"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC-AMB208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLORIED AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camuy, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.