Organization Active NPI

Jam Ambulance Service Inc

  • Land Ambulance
  • Cayey, PR
National Provider Identifier
1396005062
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
JAM AMBULANCE SERVICE INC
Practice address
13 Calle Los Almendros
Cayey, PR 00736-4034
Phone
(787) 263-0914
Fax
(787) 263-5028
NPI assigned
May 29, 2012
Last updated
May 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Mr. Pablo Vega
Title
Presidente
Phone
(787) 263-0914

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X TCAMB620 PR
Ambulance 341600000X PR
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

13 Calle Los Almendros
Cayey, PR 00736-4034

Mailing address

13 Calle Los Almendros
Cayey, PR 00736-4034
Phone (787) 263-0914

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130218000166 PR Part B Supplier - Ambulance Service Supplier 3971757139 Practice locations: Cayey, 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": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1396005062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CALLE LOS ALMENDROS",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364034",
            "telephone_number": "787-263-0914",
            "fax_number": "787-263-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CALLE LOS ALMENDROS",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364034",
            "telephone_number": "787-263-0914",
            "fax_number": "787-263-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAM AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "PABLO",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-263-0914",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PR",
            "license": "TCAMB620",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.