South Medical Transport LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SOUTH MEDICAL TRANSPORT LLC

Practice address

Bo. Cuyon Sector Calabazas
Carr 14 KM 39.3
Coamo, PR 00769

Phone

(321) 333-7221

NPI assigned

Mar 23, 2022

Organization subpart

No

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

Authorized official

Name

Noel GonzalezNPI 1629223441

Title

President

Phone

(321) 333-7221

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Noel Gonzalez

  • Land Ambulance
  • Coamo, PR
  • NPI 1629223441

  Land Transport

  NPD Authorized official

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1457000671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007690028",
            "telephone_number": "321-333-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. CUYON SECTOR CALABAZAS",
            "address_2": "CARR 14 KM 39.3",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "00769",
            "telephone_number": "321-333-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-333-7221"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laura Krystal Torres Rosado, MD

• Land Ambulance in Coamo, PR
• Providers in Coamo, 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 Mar 23, 2022; 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.