Vital Care Ambulance LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

VITAL CARE AMBULANCE LLC

Practice address

401 Andalucia Edif 401
Oficina An3
San Juan, PR 00922-0998

Phone

(787) 438-8885

NPI assigned

Dec 6, 2021

Organization subpart

No

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

Authorized official

Name

Glorian Cordova

Title

Presidente

Phone

(787) 529-4504

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1487312542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB PUERTO NUEVO",
            "address_2": "362 PMB 203 AVE ANDALUCIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009204103",
            "telephone_number": "787-423-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ANDALUCIA EDIF 401",
            "address_2": "OFICINA AN3",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009220998",
            "telephone_number": "787-438-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CARE AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "GLORIAN",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-529-4504"
    },
    "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": []
}

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• Land Ambulance in San Juan, PR
• Providers in San Juan, 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 Jul 24, 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.

Verify at the official NPI Registry.