Castillo Life Support Ambulance Corp

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CASTILLO LIFE SUPPORT AMBULANCE CORP

Practice address

Ave Eduardo Ruberte
Calle 1 Num 19 Altos
Ponce, PR 00728

Phone

(787) 259-8812

NPI assigned

Apr 2, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Josue Castillo

Title

President

Phone

(787) 382-1423

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.

• Rosa Castillo

  • Paramedic
  • Ponce, PR
  • NPI 1962881953
  NPD (past)

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1467030080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JARDINES DEL CARIBE",
            "address_2": "101 CALLE 11",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00731",
            "telephone_number": "787-259-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE EDUARDO RUBERTE",
            "address_2": "CALLE 1 NUM 19 ALTOS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-259-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTILLO LIFE SUPPORT AMBULANCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "JOSUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-382-1423",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dariana Koraima Castano Torres
• Eleane Castano
• Joanlin Marie Castellar Rodriguez, RD
• Santiago Castellon
• Maria Lourdes Castellvi
• Javier Antonio Castillo, M.D.
• Jimmy Castillo
• Rosa Castillo
• Jean C Castrero
• Liuvis Castro Alvarez

• Ambulance in Ponce, PR
• Providers in Ponce, PR by specialty
• Ambulance in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.