Active NPI
Ledesma Medical Transport
- Land Ambulance
- Fajardo, PR
National Provider Identifier
1134712722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- LEDESMA MEDICAL TRANSPORT
- Doing business as
- Ledesma Medical Transport
- Practice address
- Calle Amos 331 Parcelas Saldana
Fajardo, PR 00738 - Phone
- (787) 435-3972
- NPI assigned
- Feb 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Victor Ledesma
- Title
- Precidente
- Phone
- (787) 435-3972
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
Calle Amos 331 Parcelas Saldana
Fajardo, PR 00738
Mailing address
HC 66 Box 8511
Fajardo, PR 00738-9734
Other names 1
- Ledesma Medical Transport
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | Fajardo |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220620000509 | PR | Part B Supplier - Ambulance Service Supplier | 7618356858 | Practice locations: Fajardo, PR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653004800000",
"number": "1134712722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 66 BOX 8511",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007389734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE AMOS 331 PARCELAS SALDANA",
"city": "FAJARDO",
"state": "PR",
"postal_code": "00738",
"telephone_number": "787-435-3972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEDESMA MEDICAL TRANSPORT",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-16",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A",
"authorized_official_last_name": "LEDESMA",
"authorized_official_first_name": "VICTOR",
"authorized_official_title_or_position": "PRECIDENTE",
"authorized_official_telephone_number": "787-435-3972"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "Fajardo",
"affiliation": "N",
"address_1": "calle amos 331 parcelas saldana",
"city": "fajardo",
"state": "PR",
"country_code": "US",
"postal_code": "00738",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Ledesma Medical Transport",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Ledesma Medical Transport",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fajardo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.