Shaddai Ambulance Services LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SHADDAI AMBULANCE SERVICES LLC

Practice address

Bo Higuero Carr 150 KM 7.3
Villalba, PR 00766

Phone

(787) 397-7615

NPI assigned

Feb 21, 2023

Organization subpart

No

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

Authorized official

Name

Alejandro De Jesus Burgos

Title

President

Phone

(787) 397-7615

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1609574433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 4467",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007669757",
            "telephone_number": "787-397-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO HIGUERO CARR 150 KM 7.3",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "00766",
            "telephone_number": "787-397-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADDAI AMBULANCE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "DE JESUS BURGOS",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-397-7615"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisol Santiago, PHARM.D.
• Maryann Santiago
• Xiomara Santiago
• Ramon A Schmidt Velazquez, M.D.
• Ana Seda Cordero, M.D.
• Norma Iris Silvagnoli -Collazo, MT
• Elvin Soto-Hernandez, MSW
• Southern Hospital Service Inc
• Southern Hospital Services
• Southern Hospital Services

• Land Ambulance in Villalba, PR
• Providers in Villalba, 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 Feb 21, 2023; 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.