Organization Active NPI

Life Star Medical Transport Corp

  • Land Ambulance
  • Canovanas, PR
National Provider Identifier
1396794087
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TC AMB 279 Issued in PR
Legal business name
LIFE STAR MEDICAL TRANSPORT CORP
Practice address
Carretera 3 KM 15.3
El Comandante
Canovanas, PR 00729
Phone
(787) 620-5267
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maria Sanz
Title
President
Phone
(787) 620-5267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TC AMB 279 PR Primary

Addresses

Primary practice location

Carretera 3 KM 15.3
El Comandante
Canovanas, PR 00729

Mailing address

PO Box 1168
Trujillo Alto, PR 00977-1168
Phone (787) 620-5267

National Provider Directory

National Provider Directory

Locations

3 Carr 3
Canovanas, PR 00729
Phone (787) 620-5267

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396794087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1168",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009771168",
            "telephone_number": "787-620-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 3 KM 15.3",
            "address_2": "EL COMANDANTE",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-620-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE STAR MEDICAL TRANSPORT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-620-5267"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC AMB 279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.