Active NPI
Southmetro Healthcare LLC
- Land Ambulance
- Toa Baja, PR
National Provider Identifier
1548012776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240607002952 | PR | Part B Supplier - Ambulance Service Supplier | 5799227591 | Practice locations: Bayamon, PR; Toa Baja, PR |
National Provider Directory
National Provider DirectoryNPI 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.