Active NPI
Michael Beretta
- Land Ambulance
- San Juan, PR
National Provider Identifier
1306035928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- TC AMB 482
- Practice address
- 1151 Calle Maximo Alomar
San Juan, PR 00923-3200 - Phone
- (787) 646-0840
- Fax
- (787) 764-7796
- NPI assigned
- Oct 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | TC AMB 482 | PR | Primary |
Addresses
Primary practice location
1151 Calle Maximo Alomar
San Juan, PR 00923-3200
Mailing address
1151 Calle Maximo Alomar
Urb San Agustin
San Juan, PR 00923-3200
Phone (787) 478-2050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070810000743 | PR | Part B Supplier - Ambulance Service Supplier | 4183715774 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Real Ambulance Inc | Land Transport | Past | Accepting new patients |
Locations
1151 Calle Maximo Alomar
San Juan, PR 00923
Phone (787) 646-0840
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1306035928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 CALLE MAXIMO ALOMAR",
"address_2": "URB SAN AGUSTIN",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009233200",
"telephone_number": "787-478-2050",
"fax_number": "787-764-7796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 CALLE MAXIMO ALOMAR",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009233200",
"telephone_number": "787-646-0840",
"fax_number": "787-764-7796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERETTA",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-19",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PR",
"license": "TC AMB 482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.