Medical Transport Ambulance Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

TC AMB 369 Issued in PR

Legal business name

MEDICAL TRANSPORT AMBULANCE INC

Practice address

Calle C14
Urb Portal del Sol
San Lorenzo, PR 00754

Phone

(787) 736-4444

NPI assigned

May 10, 2006

Last updated

Aug 22, 2020By 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

Milagros Cruz

Title

President

Phone

(787) 736-4444

Specialties & licenses 1

Addresses

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": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659320075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007540966",
            "telephone_number": "787-736-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE C14",
            "address_2": "URB PORTAL DEL SOL",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-736-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL TRANSPORT AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "MILAGROS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-736-4444"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC AMB 369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addiss Maldonado Mendez, MD
• Brenda Liz Maldonado, M.T.
• Mayra Maldonado, M.D.
• Moraida Martinez Morales
• Jose J Martinez Santana, M.D.
• Ernesto Medina de Jesus, MD
• Angel Luis Medina Orta
• Raphael Melendez, P.T.
• MF Dynamic Billing Corp
• Ruvva Milian, NL, CNC

• Land Ambulance in San Lorenzo, PR
• Providers in San Lorenzo, 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 22, 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.

Verify at the official NPI Registry.