Active NPI
Renal Life Inc.
- Ambulance
- Bayamon, PR
National Provider Identifier
1316945959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- TC-AMB 265
- Legal business name
- RENAL LIFE INC.
- Practice address
- Calle 30
#200
Bayamon, PR 00956 - Phone
- (787) 448-4448
- Fax
- (787) 786-9824
- NPI assigned
- Jul 8, 2005
- 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
- Mr. Jose A Martinez
- Title
- President
- Phone
- (787) 448-4448
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | TC-AMB 265 | PR | Primary |
Addresses
Primary practice location
Calle 30
#200
Bayamon, PR 00956
Mailing address
138 Ave Winston Churchill
San Juan, PR 00926-6013
Phone (787) 448-4448
Other names 1
- Renal Life Ambulance
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316945959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 AVE WINSTON CHURCHILL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009266013",
"telephone_number": "787-448-4448",
"fax_number": "787-786-9824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE 30",
"address_2": "#200",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-448-4448",
"fax_number": "787-786-9824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENAL LIFE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-448-4448",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "PR",
"license": "TC-AMB 265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Renal Life Ambulance",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.