NPIMap

Organization Active NPI

Villalba Medical Transport LLC

  • Land Ambulance
  • Juana Diaz, PR
National Provider Identifier
1447921648
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
VILLALBA MEDICAL TRANSPORT LLC
Practice address
Carr 14 KM 13.2 Urb Orta Local Num 5
Juana Diaz, PR 00795-0079
Phone
(787) 210-1400
NPI assigned
Sep 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Kelvin Lora
Title
President
Phone
(939) 358-2362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

Carr 14 KM 13.2 Urb Orta Local Num 5
Juana Diaz, PR 00795-0079

Mailing address

Urb la Vega
Calle B 139
Villalba, PR 00766
Phone (787) 210-1400

Other identifiers 1

IdentifierTypeStateIssuer
TCAMB-139362OtherPRCOMISION

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1447921648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB LA VEGA",
            "address_2": "CALLE B 139",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "00766",
            "telephone_number": "787-210-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 14 KM 13.2 URB ORTA LOCAL NUM 5",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007950079",
            "telephone_number": "787-210-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLALBA MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "LORA",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-358-2362"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMISION",
            "identifier": "TCAMB-139362",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.