Organization Active NPI

Health Medical Ambulance Inc

  • Land Ambulance
  • Manati, PR
National Provider Identifier
1154470110
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2206406 Issued in PR
Legal business name
HEALTH MEDICAL AMBULANCE INC
Practice address
Carr 616 KM 0 1
Bo Tierras Nuevas
Manati, PR 00674
Phone
(787) 884-5054
Fax
(787) 854-3270
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Mr. Davirael Marrero, EMT
Title
President
Phone
(787) 884-5054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2206406 PR Primary

Addresses

Primary practice location

Carr 616 KM 0 1
Bo Tierras Nuevas
Manati, PR 00674

Mailing address

PO Box 1046
Manati, PR 00674-1046
Phone (787) 884-5054

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080314000010 PR Part B Supplier - Ambulance Service Supplier 9335224351 Practice locations: Manati, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1154470110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1046",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741046",
            "telephone_number": "787-884-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 616 KM 0 1",
            "address_2": "BO TIERRAS NUEVAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-884-5054",
            "fax_number": "787-854-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH MEDICAL AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "DAVIRAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-884-5054",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "2206406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.