Active NPI
Firemedic Ambulance Corporation
- Land Ambulance
- Canovanas, PR
National Provider Identifier
1629238654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- TCAMB536
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629238654 | Medicaid | PR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ETMFIREMEDIC@HOTMAIL.COM | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080925000568 | PR | Part B Supplier - Ambulance Service Supplier | 3375610892 | Practice locations: Canovanas, PR |
National Provider Directory
National Provider DirectoryLocations
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.