Blue Star Ambulance LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BLUE STAR AMBULANCE LLC

Practice address

Carr 511 KM 0.6 Bo. Real Anon
Coto Laurel, PR 00780

Phone

(787) 901-8334

Fax

(787) 936-7428

NPI assigned

Feb 2, 2023

Last updated

Sep 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Magaly Pacheco

Title

President

Phone

(787) 202-2845

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1386340206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800481",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800481",
            "telephone_number": "787-901-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 511 KM 0.6 BO. REAL ANON",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-901-8334",
            "fax_number": "787-936-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE STAR AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-10",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "MAGALY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-202-2845"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSP",
            "identifier": "PR",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Enrique Gustavo Bellver Espinosa Sr., M.D.
• Andres Dario Bermudez Caba
• Ramses Dario Bermudez-Arocho, MD
• Juan Berrios
• Best Caribbean Anesthesia Group, PSC
• Julianne Bobet
• Breast Care and Surgery Center PSC
• Christie Brenes Rivera
• Francisco Javier Caraballo Garcia, MD
• Caribbean Urology LLC

• Land Ambulance in Coto Laurel, PR
• Providers in Coto Laurel, PR by specialty
• Land Ambulance in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.