Active NPI
Pereira Medical System Inc
- Land Ambulance
- Caguas, PR
National Provider Identifier
1255595476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2139891
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080818000222 | PR | Part B Supplier - Ambulance Service Supplier | 5193890739 | Practice locations: Caguas, PR |
National Provider Directory
National Provider DirectoryPractitioners & 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.