Star Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

TC AMB 378 Issued in PR

Legal business name

STAR AMBULANCE SERVICE INC

Practice address

Road 457
Bo Planas
Isabela, PR 00662

Phone

(787) 408-0637

Fax

(787) 830-5404

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Omar E Lopez

Title

President

Phone

(787) 408-0637

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1679511778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 17278",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006789826",
            "telephone_number": "787-408-0637",
            "fax_number": "787-830-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD 457",
            "address_2": "BO PLANAS",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-408-0637",
            "fax_number": "787-830-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-408-0637",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC AMB 378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC",
            "identifier": "50618",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Isabela, PR
• Providers in Isabela, 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 May 20, 2008; 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.