Mma Transmedic Ambulance Services Corp

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

TC-AMB-633 Issued in PR

Legal business name

MMA TRANSMEDIC AMBULANCE SERVICES CORP

Practice address

901 Calle Vinyater
Urb Country Club
San Juan, PR 00924

Phone

(787) 420-3778

Fax

(787) 761-0911

NPI assigned

Feb 9, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Jose A Gautier, EMT-P, FP-C, CCEMT-P

Title

Director

Phone

(787) 420-3778

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545782400000",
    "number": "1285966648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 547",
            "address_2": "P.O. BOX 6017",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009846017",
            "telephone_number": "787-420-3778",
            "fax_number": "787-761-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CALLE VINYATER",
            "address_2": "URB COUNTRY CLUB",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-420-3778",
            "fax_number": "787-761-0911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Gj3 Calle 258",
            "address_2": "Urb. Country Club",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "009821936",
            "country_code": "US",
            "telephone_number": "787-420-3778",
            "fax_number": "787-761-0911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MMA TRANSMEDIC AMBULANCE SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2018-12-26",
        "status": "A",
        "authorized_official_last_name": "GAUTIER",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-420-3778",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-P, FP-C, CCEMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC-AMB-633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in San Juan, PR
• Providers in San Juan, PR by specialty
• Land Ambulance in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.