NPIMap

Organization Active NPI

Wilfredo Collazo Fernandez

  • Land Ambulance
  • Salinas, PR
National Provider Identifier
1649220070
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TC AMB 241 Issued in PR
Legal business name
WILFREDO COLLAZO FERNANDEZ
Doing business as
AMANDA AMBULANCE SERVICE
Practice address
Calle 111 la Plena
Salinas, PR 00751
Phone
(787) 824-2322
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wilfredo Collazo
Title
Owner
Phone
(787) 824-2322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TC AMB 241 PR Primary

Addresses

Primary practice location

Calle 111 la Plena
Salinas, PR 00751

Mailing address

HC 1 Box 6634
Salinas, PR 00751-9737
Phone (787) 824-2322

Other names 1

  • AMANDA AMBULANCE SERVICE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649220070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 6634",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007519737",
            "telephone_number": "787-824-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 111 LA PLENA",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "00751",
            "telephone_number": "787-824-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILFREDO COLLAZO FERNANDEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLAZO",
        "authorized_official_first_name": "WILFREDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-824-2322"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC AMB 241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMANDA AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salinas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.