BR Ambulance LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

BR AMBULANCE LLC

Practice address

Carr 568 KM25 HM8 Bo Negro Sector Los Llanos
Corozal, PR 00783

Phone

(787) 613-6023

NPI assigned

Sep 13, 2022

Last updated

Sep 13, 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

Ms. Adriana Bermudez Rivera

Title

President

Phone

(787) 613-6023

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1497477822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 11460",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007839664",
            "telephone_number": "787-613-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 568 KM25 HM8 BO NEGRO SECTOR LOS LLANOS",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "00783",
            "telephone_number": "787-613-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BR AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ RIVERA",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-613-6023",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blablao LLC
• Jennifer Blas, MD
• Mireya M Bolo Diaz, M.D.
• Javier O Bonilla Salgado, RPT
• Natalia Paola Borges Rivera I
• Luis M Burgos Hernandez, MD
• Ezer Camacho Rodriguez, M.D.
• Uriel Camacho, M.D.
• Cami Pharmacy Group, Inc. (Super Farmacia Corozal)
• Karla Castellano Rivera

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.