NPIMap

Organization Active NPI

Genesis Medical Transport

  • Land Ambulance
  • San Juan, PR
National Provider Identifier
1457520108
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TCAMB518 Issued in PR
Legal business name
GENESIS MEDICAL TRANSPORT
Practice address
201 Calle 43
Parcela Falu
San Juan, PR 00924-3124
Phone
(787) 217-8040
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Mr. Juan M Fonseca, TCAMB518
Title
President
Phone
(787) 217-8040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TCAMB518 PR Primary

Addresses

Primary practice location

201 Calle 43
Parcela Falu
San Juan, PR 00924-3124

Mailing address

201 Calle 43
Parcela Falu
San Juan, PR 00924-3124
Phone (787) 217-8040

National Provider Directory

National Provider Directory
Tax ID family
Genesis Medical Transport2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1457520108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CALLE 43",
            "address_2": "PARCELA FALU",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243124",
            "telephone_number": "787-217-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CALLE 43",
            "address_2": "PARCELA FALU",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243124",
            "telephone_number": "787-217-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-217-8040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "TCAMB518"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TCAMB518",
            "primary": true
        }
    ],
    "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 Feb 27, 2008; 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.