JCL Ambulance Corp

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

JCL AMBULANCE CORP

Practice address

Carr 770 KM 1.3 Int Bo Palo Hincado Sector la Torre
Barranquitas, PR 00794

Phone

(787) 636-7771

NPI assigned

Sep 8, 2022

Organization subpart

No

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

Authorized official

Name

Edgar Joel Rivera Pena, EMT-P

Title

Vicepresidente

Phone

(787) 488-0289

Specialties & licenses 1

Addresses

Other names 1

• Jcl Ambulance Corp Former legal business name

Locations

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1578284469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CALLE MUNOZ RIVERA UNIT 550",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007941699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 770 KM 1.3 INT BO PALO HINCADO SECTOR LA TORRE",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "00794",
            "telephone_number": "787-636-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCL AMBULANCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "RIVERA PENA",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "VICEPRESIDENTE",
        "authorized_official_telephone_number": "787-488-0289",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jcl Ambulance Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.