Superior Emergency Services Corp

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

TCAMB742 Issued in PR

Legal business name

SUPERIOR EMERGENCY SERVICES CORP

Practice address

30 Calle Ruiz Belvis Esquina Hostos
San Sebastian, PR 00685

Phone

(787) 560-4206

Fax

(787) 926-0604

NPI assigned

Aug 28, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Kristopher O Ortiz Gonzalez

Title

Presidente

Phone

(787) 560-4206

Specialties & licenses 1

Addresses

Other names 1

• SUPERIOR EMERGENCY SERVICES CORP Other name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503878400000",
    "number": "1164949459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850190",
            "telephone_number": "787-560-4206",
            "fax_number": "787-926-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CALLE RUIZ BELVIS ESQUINA HOSTOS",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-560-4206",
            "fax_number": "787-926-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR EMERGENCY SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A",
        "authorized_official_last_name": "ORTIZ GONZALEZ",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-560-4206",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TCAMB742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPERIOR EMERGENCY SERVICES CORP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Providers in San Sebastian, PR by specialty
• Land Ambulance in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; 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.