Organization Active NPI

First Class Ambulance Service Inc

  • Land Ambulance
  • Moca, PR
National Provider Identifier
1114475951
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
FIRST CLASS AMBULANCE SERVICE INC
Practice address
Carr 423 KM 3.8
Moca, PR 00676-5449
Phone
(787) 349-8066
NPI assigned
Sep 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Steven Ortiz Montalvo
Title
President
Phone
(787) 349-8066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

Carr 423 KM 3.8
Moca, PR 00676-5449

Mailing address

RR 1 Box 37152
San Sebastian, PR 00685-9101
Phone (787) 349-8066

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180319001607 PR Part B Supplier - Ambulance Service Supplier 5597027169 Practice locations: Moca, 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": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1114475951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 37152",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006859101",
            "telephone_number": "787-349-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 423 KM 3.8",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006765449",
            "telephone_number": "787-349-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CLASS AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "ORTIZ MONTALVO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-349-8066"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.