Organization Active NPI

Ledesma Medical Transport

  • Land Ambulance
  • Fajardo, PR
National Provider Identifier
1134712722
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on May 20, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL Fajardo

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220620000509 PR Part B Supplier - Ambulance Service Supplier 7618356858 Practice locations: Fajardo, 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": "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.

Verify at the official NPI Registry.