Luciano Roman Gonzalez

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

TCAMB334 Issued in PR

Legal business name

LUCIANO ROMAN GONZALEZ

Doing business as

SUPER AMBULANCE SERVICES

Practice address

Carr #2 KM. 95.3
Bo. Yeguada
Camuy, PR 00627

Phone

(787) 898-4442

Fax

(787) 898-4442

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Luciano Roman

Title

Owner-Administrator

Phone

(787) 898-4442

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• SUPER AMBULANCE SERVICES Doing business as

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407874050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006780458",
            "telephone_number": "787-898-4442",
            "fax_number": "787-898-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM. 95.3",
            "address_2": "BO. YEGUADA",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "00627",
            "telephone_number": "787-898-4442",
            "fax_number": "787-898-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCIANO ROMAN GONZALEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "LUCIANO",
        "authorized_official_title_or_position": "OWNER-ADMINISTRATOR",
        "authorized_official_telephone_number": "787-898-4442",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TCAMB334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULANCE SERVICES",
            "identifier": "56917",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULANCE SERVICE",
            "identifier": "9004424",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULANCE SERVICE",
            "identifier": "50518",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER AMBULANCE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy Lopez
• Sebastian Lopez, PTA
• Sebastian Andres Lopez, MD
• Vionette D Lopez, M.D.
• Naiomy Griselle Lourido Canales, MD
• Ettienne Lugo Delgado, O.D.
• Karen D Lugo, PHARMD
• Patria M Lugo, RPH
• Willie Dionisio Lugo
• Madera Medical LLC

• Land Ambulance in Camuy, PR
• Providers in Camuy, PR by specialty
• Land Ambulance in Puerto Rico

• 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.