Organization Active NPI

Lexmayris Ambulance, Inc.

  • Land Ambulance
  • San Sebastian, PR
National Provider Identifier
1578768230
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TCAMB 470 Issued in PR
Legal business name
LEXMAYRIS AMBULANCE, INC.
Practice address
Carr 111 KM 14.3
Plaza Hato Arriba
San Sebastian, PR 00685
Phone
(787) 896-3798
NPI assigned
Jun 20, 2007
Last updated
May 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Mr. Omayra Santiago
Title
President
Phone
(787) 896-3798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TCAMB 470 PR Primary

Addresses

Primary practice location

Carr 111 KM 14.3
Plaza Hato Arriba
San Sebastian, PR 00685

Mailing address

HC 4 Box 48187
San Sebastian, PR 00685
Phone (787) 896-3798

Other identifiers 5

IdentifierTypeStateIssuer
50805OtherPRPMC
890720OtherPRMMM
1578768230OtherPRMSC CLASSICARE
1578768230OtherPRMCS REFORMA
10131OtherPRAMERICAN HEALTH MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070809000638 PR Part B Supplier - Ambulance Service Supplier 2264523950 Practice locations: San Sebastian, 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": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1578768230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 48187",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-896-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 111 KM 14.3",
            "address_2": "PLAZA HATO ARRIBA",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-896-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXMAYRIS AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "OMAYRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-896-3798",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TCAMB 470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC",
            "identifier": "50805",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "890720",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MSC CLASSICARE",
            "identifier": "1578768230",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS REFORMA",
            "identifier": "1578768230",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH MEDICARE",
            "identifier": "10131",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.