Organization Active NPI

Golden Time Advanced Ambulance System Corp

  • Land Ambulance
  • Sabana Grande, PR
National Provider Identifier
1619751583
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
GOLDEN TIME ADVANCED AMBULANCE SYSTEM CORP
Practice address
Reparto Sabana
Calle Puerto Rico G 14
Sabana Grande, PR 00637
Phone
(939) 344-3083
NPI assigned
Aug 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Nelson J Roman Mercado, E.M.T
Title
Ceo
Phone
(787) 383-6303

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

Reparto Sabana
Calle Puerto Rico G 14
Sabana Grande, PR 00637

Mailing address

Reparto Sabana
Calle Puerto Rico G 14
Sabana Grande, PR 00637
Phone (939) 344-3083

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240424002440 PR Part B Supplier - Ambulance Service Supplier 6800236829 Practice locations: Sabana Grande, 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": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1619751583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "REPARTO SABANA",
            "address_2": "CALLE PUERTO RICO G 14",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00637",
            "telephone_number": "939-344-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "REPARTO SABANA",
            "address_2": "CALLE PUERTO RICO G 14",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00637",
            "telephone_number": "939-344-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN TIME ADVANCED AMBULANCE SYSTEM CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "ROMAN MERCADO",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-383-6303",
        "authorized_official_credential": "E.M.T"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sabana Grande, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.