Organization Active NPI

Firemedic Ambulance Corporation

  • Land Ambulance
  • Canovanas, PR
National Provider Identifier
1629238654
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TCAMB536 Issued in PR
Legal business name
FIREMEDIC AMBULANCE CORPORATION
Practice address
Carr 3 Ave. 65 Infanteria KM 15.3
Canovanas, PR 00729
Phone
(787) 514-3030
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Authorized official

Name
Efrain Torres Sr.
Title
Presidente
Phone
(787) 514-3030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ParamedicGroup: 193400000X SINGLE SPECIALTY GROUP 146L00000X
Land Ambulance 3416L0300X TCAMB536 PR Primary

Addresses

Primary practice location

Carr 3 Ave. 65 Infanteria KM 15.3
Canovanas, PR 00729

Mailing address

11 Calle Arzuaga
R.P.M. #264 Rio Piedras
San Juan, PR 00925-3701
Phone (787) 514-3030

Other practice location 1

5 Calle Arzuaga
R.P.M. #264 Rio Piedras
San Juan, PR 00925-3701
Phone (787) 514-3030

Other identifiers 1

IdentifierTypeStateIssuer
1629238654MedicaidPR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ETMFIREMEDIC@HOTMAIL.COM Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080925000568 PR Part B Supplier - Ambulance Service Supplier 3375610892 Practice locations: Canovanas, PR

National Provider Directory

National Provider Directory

Locations

5 Calle Arzuaga
#264
San Juan, PR 00925
Phone (787) 514-3030

11 Calle Arzuaga
#264
San Juan, PR 00925

5 Calle Arzuaga
San Juan, PR 00925
Phone (787) 514-3030

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584662400000",
    "number": "1629238654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CALLE ARZUAGA",
            "address_2": "R.P.M. #264 RIO PIEDRAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009253701",
            "telephone_number": "787-514-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 3 AVE. 65 INFANTERIA KM 15.3",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-514-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Calle Arzuaga",
            "address_2": "R.P.M. #264 Rio Piedras",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009253701",
            "country_code": "US",
            "telephone_number": "787-514-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIREMEDIC AMBULANCE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "EFRAIN",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-514-3030",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TCAMB536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629238654",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ETMFIREMEDIC@HOTMAIL.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "MAIL",
            "address_1": "11 Calle Arzuaga",
            "address_2": "R.P.M. #264 Rio Piedras",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.