Active NPI
Delta EMS Corp.
- Ambulance
- Barranquitas, PR
National Provider Identifier
1205383403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230412001076 | PR | Part B Supplier - Ambulance Service Supplier | 1153796784 | Practice locations: Naranjito, PR |
National Provider Directory
National Provider Directory- Tax ID family
- Delta EMS Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulance
- Barranquitas, PR
- NPI 1568836872
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.