Superior Emergency Care,Corp.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

TCAMB695 Issued in PR

Legal business name

SUPERIOR EMERGENCY CARE,CORP.

Practice address

KM 0.3 Carr 109 Int 497
Bo Pozas
San Sebastian, PR 00685

Phone

(787) 297-8904

NPI assigned

Mar 2, 2012

Organization subpart

No

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

Authorized official

Name

Miss Kristopher O Ortiz Gonzalez Sr.

Title

President

Phone

(787) 560-4206

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1578837936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850190",
            "telephone_number": "787-560-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KM 0.3 CARR 109 INT 497",
            "address_2": "BO POZAS",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-297-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR EMERGENCY CARE,CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "ORTIZ GONZALEZ",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-560-4206",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TCAMB695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in San Sebastian, PR
• Providers in San Sebastian, PR by specialty
• Land Ambulance in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.