Active NPI
Vitalife Ambulance
- Land Ambulance
- San Juan, PR
National Provider Identifier
1457078602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- VITALIFE AMBULANCE
- Practice address
- 1207 A Avenida Americo Miranda
San Juan, PR 00921-1650 - Phone
- (787) 932-7771
- NPI assigned
- Oct 27, 2022
- 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
- Ada J Rivera Machado
- Title
- Authorized Official
- Phone
- (787) 932-7771
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
1207 A Avenida Americo Miranda
San Juan, PR 00921-1650
Mailing address
PO Box 193596
San Juan, PR 00919-3596
Phone (787) 932-7771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250204000513 | PR | Part B Supplier - Ambulance Service Supplier | 0941730188 | Practice locations: San Juan, PR |
National Provider Directory
National Provider DirectoryLocations
1207 Ave Americo Miranda
#A
San Juan, PR 00921
Phone (787) 903-5564
1506 Ave Americo Miranda
San Juan, PR 00921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757376000000",
"number": "1457078602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 193596",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009193596",
"telephone_number": "787-932-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 A AVENIDA AMERICO MIRANDA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009211650",
"telephone_number": "787-932-7771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITALIFE AMBULANCE",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-27",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A",
"authorized_official_last_name": "RIVERA MACHADO",
"authorized_official_first_name": "ADA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "787-932-7771"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.