Organization Active NPI

Southmetro Healthcare LLC

  • Land Ambulance
  • Toa Baja, PR
National Provider Identifier
1548012776
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SOUTHMETRO HEALTHCARE LLC
Practice address
Carr 867 Calle Principal KM 4.7 Parcelas 188 Bo Ingenio
Toa Baja, PR 00951
Phone
(787) 209-9429
NPI assigned
Apr 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Anthony Maldonado
Title
President
Phone
(787) 209-9429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

Carr 867 Calle Principal KM 4.7 Parcelas 188 Bo Ingenio
Toa Baja, PR 00951

Mailing address

PO Box 2146
Toa Baja, PR 00951-0192
Phone (787) 209-9429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240607002952 PR Part B Supplier - Ambulance Service Supplier 5799227591 Practice locations: Bayamon, PR; Toa Baja, PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1548012776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2146",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009510192",
            "telephone_number": "787-209-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 867 CALLE PRINCIPAL KM 4.7 PARCELAS 188 BO INGENIO",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00951",
            "telephone_number": "787-209-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHMETRO HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-209-9429"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

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