Dynasty Emergency Medical Service Corp

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

DYNASTY EMERGENCY MEDICAL SERVICE CORP

Practice address

Urbanizacion Interamericana
Calle 15 Ad13
Trujillo Alto, PR 00976-3407

Phone

(787) 481-7592

NPI assigned

Jan 31, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Javier J Rivera Molina

Title

President

Phone

(787) 481-7592

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1376249524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009770280",
            "telephone_number": "787-874-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URBANIZACION INTERAMERICANA",
            "address_2": "CALLE 15 AD13",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009763407",
            "telephone_number": "787-481-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNASTY EMERGENCY MEDICAL SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "RIVERA MOLINA",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-481-7592",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Trujillo Alto, PR
• Providers in Trujillo Alto, PR by specialty
• Ambulance in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.