Organization Active NPI

Jezreel Ambulance, Inc.

  • Land Ambulance
  • San Lorenzo, PR
National Provider Identifier
1194989335
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TCAMB541 Issued in PR
Legal business name
JEZREEL AMBULANCE, INC.
Practice address
KM2 Ramal 9929 Carr 183
San Lorenzo, PR 00754
Phone
(787) 736-7932
NPI assigned
Jul 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Mr. Osvaldo Ortiz Roldan, TEM
Title
Presidente
Phone
(787) 370-5021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TCAMB541 PR Primary

Addresses

Primary practice location

KM2 Ramal 9929 Carr 183
San Lorenzo, PR 00754

Mailing address

PO Box 987
San Lorenzo, PR 00754-0987

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1194989335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 987",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007540987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KM2 RAMAL 9929 CARR 183",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-736-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEZREEL AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "ORTIZ ROLDAN",
        "authorized_official_first_name": "OSVALDO",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-370-5021",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "TEM"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TCAMB541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Lorenzo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.