El Eden Ambulance Medical Transport Services LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

EL EDEN AMBULANCE MEDICAL TRANSPORT SERVICES LLC

Practice address

Urb la Meseta Calle Los Gonzalez 342
Caguas, PR 00725

Phone

(939) 400-1084

NPI assigned

May 24, 2022

Last updated

May 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan J Rivera Crespo, MD

Title

Presidente

Phone

(939) 400-1084

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1457099087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB LA MESETA CALLE LOS GONZALEZ 342",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB LA MESETA CALLE LOS GONZALEZ 342",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "939-400-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL EDEN AMBULANCE MEDICAL TRANSPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "RIVERA CRESPO",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "939-400-1084",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.