NPIMap

Organization Active NPI

Primary Care Ambulance Inc

  • Land Ambulance
  • Toa Alta, PR
National Provider Identifier
1386962124
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TC AMB-642 Issued in PR
Legal business name
PRIMARY CARE AMBULANCE INC
Practice address
Carr 861 # KM 4/5
Bo Bucarabones
Toa Alta, PR 00953-8528
Phone
(787) 373-9696
Fax
(787) 786-0022
NPI assigned
May 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Joel Pastrana
Title
President
Phone
(787) 373-9696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TC AMB-642 PR Primary

Addresses

Primary practice location

Carr 861 # KM 4/5
Bo Bucarabones
Toa Alta, PR 00953-8528

Mailing address

Carr. 861 KM 4.5 Bo. Bucarabones
Toa Alta, PR 00953
Phone (787) 373-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100927000429 PR Part B Supplier - Ambulance Service Supplier 8527184613 Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1386962124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR. 861 KM 4.5 BO. BUCARABONES",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-373-9696",
            "fax_number": "787-786-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 861 # KM 4/5",
            "address_2": "BO BUCARABONES",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009538528",
            "telephone_number": "787-373-9696",
            "fax_number": "787-786-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "PASTRANA",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-373-9696"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC AMB-642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.