NPIMap

Organization Active NPI

Evolution Ambulance Inc.

  • Land Ambulance
  • Carolina, PR
National Provider Identifier
1295253243
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
EVOLUTION AMBULANCE INC.
Practice address
Urb Villa Carolina
47 Calle 40
Carolina, PR 00987
Phone
(787) 685-4246
NPI assigned
Aug 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Authorized official

Name
Fransheska De Jesus
Title
Owner
Phone
(787) 685-4246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X PR Primary

Addresses

Primary practice location

Urb Villa Carolina
47 Calle 40
Carolina, PR 00987

Mailing address

410 Calle Roble
Juncos, PR 00777-9439
Phone (787) 685-4246

Other names 1

  • Evolution Ambulance Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180910000989 PR Part B Supplier - Ambulance Service Supplier 6800146077 Practice locations: Carolina, PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1295253243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CALLE ROBLE",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007779439",
            "telephone_number": "787-685-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB VILLA CAROLINA",
            "address_2": "47 CALLE 40",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00987",
            "telephone_number": "787-685-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION AMBULANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "FRANSHESKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-685-4246"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolution Ambulance",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Evolution Ambulance",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.