Organization Active NPI

Delta EMS Corp.

  • Ambulance
  • Barranquitas, PR
National Provider Identifier
1205383403
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
DELTA EMS CORP.
Practice address
41 Calle Munos Rivera Unit 550
Barranquitas, PR 00794-0079
Phone
(787) 636-7771
NPI assigned
Sep 6, 2016
Last updated
Apr 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Authorized official

Name
Edgar Joel Rivera Pena
Title
President
Phone
(787) 636-7771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

41 Calle Munos Rivera Unit 550
Barranquitas, PR 00794-0079

Mailing address

RR1 Box 11475
Orocovis, PR 00720
Phone (787) 639-7737

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230412001076 PR Part B Supplier - Ambulance Service Supplier 1153796784 Practice locations: Naranjito, PR

National Provider Directory

National Provider Directory
Tax ID family
Delta EMS Corp2 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.

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1205383403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR1 BOX 11475",
            "city": "OROCOVIS",
            "state": "PR",
            "postal_code": "00720",
            "telephone_number": "787-639-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CALLE MUNOS RIVERA UNIT 550",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007940079",
            "telephone_number": "787-636-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA EMS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2021-04-26",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "RIVERA PENA",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-636-7771"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barranquitas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.