Active NPI
Nova Medical Transport LLC
- Ambulance
- Sabana Grande, PR
National Provider Identifier
1407626112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240626003268 | PR | Part B Supplier - Ambulance Service Supplier | 9335683747 | Practice locations: Sabana Grande, PR |
National Provider Directory
National Provider DirectoryNPI 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.