Organization Active NPI

Yarie & Omar Ambulance Inc

  • Land Ambulance
  • Jayuya, PR
National Provider Identifier
1205033404
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TC AMB 474 Issued in PR
Legal business name
YARIE & OMAR AMBULANCE INC
Practice address
Carretera 144 KM 2.8
Jayuya, PR 00664
Phone
(787) 828-3880
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mirella De Jesus
Title
President
Phone
(787) 828-3880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TC AMB 474 PR Primary

Addresses

Primary practice location

Carretera 144 KM 2.8
Jayuya, PR 00664

Mailing address

PO Box 819
Jayuya, PR 00664-0819
Phone (787) 828-3880

Other identifiers 1

IdentifierTypeStateIssuer
TC AMB 474OtherPRAMBULANCE LAND

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205033404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "city": "JAYUYA",
            "state": "PR",
            "postal_code": "006640819",
            "telephone_number": "787-828-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 144 KM 2.8",
            "city": "JAYUYA",
            "state": "PR",
            "postal_code": "00664",
            "telephone_number": "787-828-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YARIE & OMAR AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "MIRELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-828-3880"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC AMB 474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULANCE LAND",
            "identifier": "TC AMB 474",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jayuya, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.