Organization Active NPI

Nestor J Ortiz

  • Land Ambulance
  • San Sebastian, PR
National Provider Identifier
1659646552
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
NESTOR J ORTIZ
Practice address
Carr 109 Int 497 KM 0.3 HM 2
Bo Pozas
San Sebastian, PR 00685-0000
Phone
(787) 560-4206
Fax
(787) 551-7104
NPI assigned
Mar 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Mr. Kristopher O Ortiz Gonzalez
Title
Owner
Phone
(787) 560-4206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X PR Primary

Addresses

Primary practice location

Carr 109 Int 497 KM 0.3 HM 2
Bo Pozas
San Sebastian, PR 00685-0000

Mailing address

Num 47 Ave Rivera Morales
San Sebastian, PR 00685-1722
Phone (787) 560-4206

Other names 1

  • Kriss Medical Transport Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120914000529 PR Part B Supplier - Ambulance Service Supplier 3870741986 Practice locations: San Sebastian, PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1659646552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NUM 47 AVE RIVERA MORALES",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006851722",
            "telephone_number": "787-560-4206",
            "fax_number": "787-551-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 109 INT 497 KM 0.3 HM 2",
            "address_2": "BO POZAS",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850000",
            "telephone_number": "787-560-4206",
            "fax_number": "787-551-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESTOR J ORTIZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "ORTIZ GONZALEZ",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-560-4206",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kriss Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kriss Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Sebastian, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.