Active NPI
East Medical System LLC
- Land Ambulance
- Ceiba, PR
National Provider Identifier
1689448367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- EAST MEDICAL SYSTEM LLC
- Practice address
- Avenida Lauro Pineiro 190
Ceiba, PR 00735 - Phone
- (787) 399-6340
- NPI assigned
- Nov 13, 2023
- Last updated
- Nov 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bryan Alexis Velez
- Title
- Vice Presidente
- Phone
- (787) 399-6340
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
Avenida Lauro Pineiro 190
Ceiba, PR 00735
Mailing address
Urbanizacion El Senorial Calle Benito Feijo 2038
San Juan, PR 00926
Phone (787) 399-6340
Other names 1
- EAST MEDICAL SYSTEM LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240308002437 | PR | Part B Supplier - Ambulance Service Supplier | 4789020082 | Practice locations: Cieba, PR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Physician Assistant
- San Juan, PR
- NPI 1477289478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699833600000",
"number": "1689448367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URBANIZACION EL SENORIAL CALLE BENITO FEIJO 2038",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-399-6340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENIDA LAURO PINEIRO 190",
"city": "CEIBA",
"state": "PR",
"postal_code": "00735",
"telephone_number": "787-399-6340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST MEDICAL SYSTEM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-13",
"last_updated": "2023-11-13",
"certification_date": "2023-11-09",
"status": "A",
"authorized_official_last_name": "VELEZ",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "ALEXIS",
"authorized_official_title_or_position": "VICE PRESIDENTE",
"authorized_official_telephone_number": "787-399-6340"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EAST MEDICAL SYSTEM LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Ceiba, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.