Organization Active NPI

Pablo a Gomez Cortes

Doing business as Medstar EMS

  • Land Ambulance
  • Aguadilla, PR
National Provider Identifier
1194930594
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TC AMB 411 Issued in PR
Legal business name
PABLO A GOMEZ CORTES
Doing business as
Medstar EMS
Practice address
Carr 467, KM. 4.4 Int.
Bo. Camaseyes
Aguadilla, PR 00603
Phone
(787) 617-9110
Fax
(787) 818-0429
NPI assigned
May 11, 2007
Last updated
Oct 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Authorized official

Name
Pablo A Gomez CortesNPI 1851506265
Title
Owner
Phone
(787) 617-9110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TC AMB 411 PR Primary

Addresses

Primary practice location

Carr 467, KM. 4.4 Int.
Bo. Camaseyes
Aguadilla, PR 00603

Mailing address

137 Calle Harrison
Aguadilla, PR 00603-1503
Phone (787) 617-9110

Other identifiers 3

IdentifierTypeStateIssuer
89067OtherPRMMM
50749OtherPRPMC
8341OtherPRAMERICAN HEALTH MEDICARE

Other names 1

  • Medstar EMS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medstar EMS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1194930594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 CALLE HARRISON",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006031503",
            "telephone_number": "787-617-9110",
            "fax_number": "787-890-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 467, KM. 4.4 INT.",
            "address_2": "BO. CAMASEYES",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-617-9110",
            "fax_number": "787-818-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PABLO A GOMEZ CORTES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "GOMEZ CORTES",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-617-9110"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC AMB 411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "89067",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC",
            "identifier": "50749",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH MEDICARE",
            "identifier": "8341",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medstar EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.