Active NPI
V.I.P. Ambulance Corporation
- Land Ambulance
- San Juan, PR
National Provider Identifier
1356398374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- TCAMB313
- Legal business name
- V.I.P. AMBULANCE CORPORATION
- Practice address
- 180 Calle Jose F Diaz
Apto 1502 Cond Monte Brisas
San Juan, PR 00926-5972 - Phone
- (787) 708-4558
- Fax
- (787) 731-2711
- NPI assigned
- May 27, 2006
- 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
- Wanda Santiago
- Title
- Presidente
- Phone
- (787) 708-4558
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | TCAMB313 | PR | Primary |
Addresses
Primary practice location
180 Calle Jose F Diaz
Apto 1502 Cond Monte Brisas
San Juan, PR 00926-5972
Mailing address
PO Box 29004
San Juan, PR 00929-0004
Phone (787) 708-4558
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50219 | Other | PR | PREFERED MEDICARE CHOICE |
| 890430 | Other | PR | MEDICARE Y MUCHO MAS |
| 0056620 | Other | PR | 0056620 |
| 9004246 | Other | PR | ACAA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031119000028 | PR | Part B Supplier - Ambulance Service Supplier | 9133033590 | Practice locations: San Juan, PR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692144000000",
"number": "1356398374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29004",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009290004",
"telephone_number": "787-708-4558",
"fax_number": "787-790-9212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 CALLE JOSE F DIAZ",
"address_2": "APTO 1502 COND MONTE BRISAS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009265972",
"telephone_number": "787-708-4558",
"fax_number": "787-731-2711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "V.I.P. AMBULANCE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A",
"authorized_official_last_name": "SANTIAGO",
"authorized_official_first_name": "WANDA",
"authorized_official_title_or_position": "PRESIDENTE",
"authorized_official_telephone_number": "787-708-4558"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PR",
"license": "TCAMB313",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERED MEDICARE CHOICE",
"identifier": "50219",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE Y MUCHO MAS",
"identifier": "890430",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "0056620",
"identifier": "0056620",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACAA",
"identifier": "9004246",
"state": "PR"
}
],
"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 16, 2023; 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.