Active NPI
Mulero Enterprises Medline Ambulance
- Land Ambulance
- Bayamon, PR
National Provider Identifier
1346089083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- MULERO ENTERPRISES MEDLINE AMBULANCE
- Practice address
- 182 Ave Betances
Urb Hermanas Davila
Bayamon, PR 00960 - Phone
- (787) 608-7418
- NPI assigned
- May 22, 2024
- 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
- Abimael Mulero-Reyes
- Title
- Presidente
- Phone
- (787) 608-7418
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Response System Companies | 333300000X | |||
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
182 Ave Betances
Urb Hermanas Davila
Bayamon, PR 00960
Mailing address
PO Box 6444
Bayamon, PR 00960-5444
Phone (787) 608-7418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240917003316 | PR | Part B Supplier - Ambulance Service Supplier | 9133660293 | Practice locations: Bayamon, PR |
National Provider Directory
National Provider DirectoryLocations
182 Ave Betances
Bayamon, PR 00959
Phone (787) 608-7410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716336000000",
"number": "1346089083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6444",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009605444",
"telephone_number": "787-608-7418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "182 AVE BETANCES",
"address_2": "URB HERMANAS DAVILA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00960",
"telephone_number": "787-608-7418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULERO ENTERPRISES MEDLINE AMBULANCE",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-22",
"last_updated": "2024-05-22",
"certification_date": "2024-05-16",
"status": "A",
"authorized_official_last_name": "MULERO-REYES",
"authorized_official_first_name": "ABIMAEL",
"authorized_official_title_or_position": "PRESIDENTE",
"authorized_official_telephone_number": "787-608-7418"
},
"taxonomies": [
{
"code": "333300000X",
"taxonomy_group": "",
"desc": "Emergency Response System Companies",
"state": null,
"license": null,
"primary": false
},
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 22, 2024; 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.