Organization Active NPI

Pereira Medical System Inc

  • Land Ambulance
  • Caguas, PR
National Provider Identifier
1255595476
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2139891 Issued in PR
Legal business name
PEREIRA MEDICAL SYSTEM INC
Practice address
BS 2 Calle Guarionex Apt 3
Urb Resid Bairoa
Caguas, PR 00725-1430
Phone
(787) 703-0508
Fax
(787) 747-5389
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
Ludy E Reyes
Title
Vice Presidenta
Phone
(787) 703-0508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2139891 PR Primary

Addresses

Primary practice location

BS 2 Calle Guarionex Apt 3
Urb Resid Bairoa
Caguas, PR 00725-1430

Mailing address

918 Calle Cindya
Urb Elencanto
Juncos, PR 00777-7761
Phone (787) 703-0508

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080818000222 PR Part B Supplier - Ambulance Service Supplier 5193890739 Practice locations: Caguas, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1255595476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 CALLE CINDYA",
            "address_2": "URB ELENCANTO",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007777761",
            "telephone_number": "787-703-0508",
            "fax_number": "787-747-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BS 2 CALLE GUARIONEX APT 3",
            "address_2": "URB RESID BAIROA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007251430",
            "telephone_number": "787-703-0508",
            "fax_number": "787-747-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREIRA MEDICAL SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "LUDY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENTA",
        "authorized_official_telephone_number": "787-703-0508"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "2139891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, 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.
  • 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.