Organization Active NPI

Ana L Guadalupe Santiago

Doing business as Odessa Medical Trasnport

  • Land Ambulance
  • Guayama, PR
National Provider Identifier
1528118312
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TC 433 Issued in PR
Legal business name
ANA L GUADALUPE SANTIAGO
Doing business as
Odessa Medical Trasnport
Practice address
Urb Villa Universitaria
Calle Lafayette 75
Guayama, PR 00784
Phone
(787) 466-3337
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Authorized official

Name
Mrs. Ana Guadalupe Santiago
Title
Owner
Phone
(787) 466-3337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TC 433 PR Primary

Addresses

Primary practice location

Urb Villa Universitaria
Calle Lafayette 75
Guayama, PR 00784

Mailing address

PO Box 836
Guayama, PR 00785-0836
Phone (787) 466-3337

Other identifiers 1

IdentifierTypeStateIssuer
TC433OtherPRAMBULANCE

Other names 1

  • Odessa Medical Trasnport Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1528118312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 836",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007850836",
            "telephone_number": "787-466-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB VILLA UNIVERSITARIA",
            "address_2": "CALLE LAFAYETTE 75",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-466-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANA L GUADALUPE SANTIAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "GUADALUPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-466-3337",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC 433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULANCE",
            "identifier": "TC433",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odessa Medical Trasnport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guayama, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.