Medlife Ambulance Corp

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

TCAMB 310 Issued in PR

Legal business name

MEDLIFE AMBULANCE CORP

Practice address

1 Carr 102 # KM
Cabo Rojo, PR 00623-3802

Phone

(787) 255-0636

Fax

(787) 851-2697

NPI assigned

Aug 14, 2007

Last updated

Aug 14, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elio E Santiago

Title

Director

Phone

(787) 255-0636

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ildefonso Santiago

  • Ambulance
  • Cabo Rojo, PR
  • NPI 1265622252
  NPD (past)

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1649462649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1847",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006231847",
            "telephone_number": "787-255-0636",
            "fax_number": "787-851-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CARR 102 # KM",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233802",
            "telephone_number": "787-255-0636",
            "fax_number": "787-851-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLIFE AMBULANCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "ELIO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-255-0636"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TCAMB 310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Cabo Rojo, PR
• Providers in Cabo Rojo, PR by specialty
• Land Ambulance in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.