Active NPI
Critical Health Ambulance Corp
- Land Ambulance
- Aguadilla, PR
National Provider Identifier
1316693872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CRITICAL HEALTH AMBULANCE CORP
- Practice address
- Carr 4110 KM 0.3
Bo Caimital Bajo
Aguadilla, PR 00603 - Phone
- (787) 313-6498
- Fax
- (787) 551-7104
- NPI assigned
- Feb 23, 2022
- 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
- Kevin J Mendez Fronteras
- Title
- Owner
- Phone
- (787) 313-6498
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
Carr 4110 KM 0.3
Bo Caimital Bajo
Aguadilla, PR 00603
Mailing address
HC 8 Box 24426
Aguadilla, PR 00603-9644
Phone (787) 313-6498
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TCAMB-135556 | Other | PR | TCAMB |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230214000459 | PR | Part B Supplier - Ambulance Service Supplier | 9335511765 | Practice locations: Aguadilla, PR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646265600000",
"number": "1316693872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 8 BOX 24426",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006039644",
"telephone_number": "787-313-6498",
"fax_number": "787-551-7104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 4110 KM 0.3",
"address_2": "BO CAIMITAL BAJO",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-313-6498",
"fax_number": "787-551-7104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRITICAL HEALTH AMBULANCE CORP",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-23",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A",
"authorized_official_last_name": "MENDEZ FRONTERAS",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-313-6498"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TCAMB",
"identifier": "TCAMB-135556",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aguadilla, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.