United EMS Mayaguez

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

UNITED EMS MAYAGUEZ

Practice address

Cerro Gordo KM 1.9 Carr 840
Bayamon, PR 00956

Phone

(787) 536-8909

Fax

(787) 777-1577

NPI assigned

Jan 19, 2024

Organization subpart

No

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

Authorized official

Name

Jarrelys Colon Matos

Title

Presidente

Phone

(787) 536-8909

Specialties & licenses 1

Addresses

Other names 1

• UNITED EMS MAYAGUEZ Former legal business name

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": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1629839352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CERRO GORDO KM 1.9 CARR 840",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-241-6590",
            "fax_number": "787-777-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CERRO GORDO KM 1.9 CARR 840",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-536-8909",
            "fax_number": "787-777-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED EMS MAYAGUEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "COLON MATOS",
        "authorized_official_first_name": "JARRELYS",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-536-8909"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITED EMS MAYAGUEZ",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Ambulance in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Ambulance in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.