Excellent Ambulance Service, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

TC AMB 579 Issued in PR

Legal business name

EXCELLENT AMBULANCE SERVICE, INC.

Practice address

138 Ave Winston Churchill
PMB 680
San Juan, PR 00926-6023

Phone

(787) 292-4540

Fax

(787) 292-1974

NPI assigned

Mar 9, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Gineyra D. Rodriguez I

Title

Presidenta

Phone

(787) 292-4540

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1649411414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 AVE WINSTON CHURCHILL",
            "address_2": "PMB 680",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266023",
            "telephone_number": "787-292-4540",
            "fax_number": "787-292-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 AVE WINSTON CHURCHILL",
            "address_2": "PMB 680",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266023",
            "telephone_number": "787-292-4540",
            "fax_number": "787-292-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "GINEYRA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-292-4540",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC AMB 579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.