Organization Active NPI

Nova Medical Transport LLC

  • Ambulance
  • Sabana Grande, PR
National Provider Identifier
1407626112
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
NOVA MEDICAL TRANSPORT LLC
Practice address
Carr 328 KM 0.1 Bo Rayo Guaras
Sabana Grande, PR 00637-2035
Phone
(787) 206-1040
Fax
(787) 978-7173
NPI assigned
Jan 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Ms. Neysha Marie Pietri Pagan
Title
Presidente
Phone
(787) 206-1040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

Carr 328 KM 0.1 Bo Rayo Guaras
Sabana Grande, PR 00637-2035

Mailing address

PO Box 232
Sabana Grande, PR 00637-0232
Phone (787) 206-1040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240626003268 PR Part B Supplier - Ambulance Service Supplier 9335683747 Practice locations: Sabana Grande, 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": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1407626112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006370232",
            "telephone_number": "787-206-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 328 KM 0.1 BO RAYO GUARAS",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006372035",
            "telephone_number": "787-206-1040",
            "fax_number": "787-978-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "PIETRI PAGAN",
        "authorized_official_first_name": "NEYSHA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-206-1040",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sabana Grande, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.