Active NPI
Henry Ortiz
Doing business as Enriques Ambulance Service
- Ambulance
- San Sebastian, PR
National Provider Identifier
1255563458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- HENRY ORTIZ
- Doing business as
- Enriques Ambulance Service
- Practice address
- Carr 423 KM 5.7 Interior
Bo Sonador Sector Montalvo
San Sebastian, PR 00685-9101 - Phone
- (787) 420-8906
- NPI assigned
- Aug 20, 2009
- Last updated
- Jul 14, 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
- Mr. Henry Ortiz Sr.
- Title
- Propietario
- Phone
- (787) 420-8906
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | Primary |
Addresses
Primary practice location
Carr 423 KM 5.7 Interior
Bo Sonador Sector Montalvo
San Sebastian, PR 00685-9101
Mailing address
RR 1 Box 37154
San Sebastian, PR 00685-9101
Phone (787) 420-8906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039027800 | Medicaid | PR |
Other names 1
- Enriques Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100114000236 | PR | Part B Supplier - Ambulance Service Supplier | 2668513524 | Practice locations: San Sebastian, PR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626220800000",
"number": "1255563458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 1 BOX 37154",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006859101",
"telephone_number": "787-420-8906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 423 KM 5.7 INTERIOR",
"address_2": "BO SONADOR SECTOR MONTALVO",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006859101",
"telephone_number": "787-420-8906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY ORTIZ",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-20",
"last_updated": "2021-07-14",
"certification_date": "2021-06-21",
"status": "A",
"authorized_official_last_name": "ORTIZ",
"authorized_official_first_name": "HENRY",
"authorized_official_title_or_position": "PROPIETARIO",
"authorized_official_telephone_number": "787-420-8906",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "039027800",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Enriques Ambulance Service",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Enriques Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Sebastian, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.