Individual provider Active NPI

Luis G Santiago Balbes

  • Land Ambulance
  • Santa Isabel, PR
National Provider Identifier
1689933632
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TCAMB 691 Issued in PR
Practice address
Urb Hacienda Concordia 11077
Santa Isabel, PR 00757-1077
Phone
(787) 427-8374
NPI assigned
May 11, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TCAMB 691 PR Primary

Addresses

Primary practice location

Urb Hacienda Concordia 11077
Santa Isabel, PR 00757-1077

Mailing address

Urb Hacienda Concordia 11077
Santa Isabel, PR 00757-1077
Phone (787) 427-8374

Other names 1

  • Prolife Ambulance Service Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TCAMB 691PRMDLand Ambulance

Practice roles

OrganizationSpecialtyStatusNew patients
Santiago Ambulance Inc Land Transport Current Accepting new patients
Luis G Santiago Balbes Land Transport CurrentSince Aug 23, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1689933632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB HACIENDA CONCORDIA 11077",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007571077",
            "telephone_number": "787-427-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB HACIENDA CONCORDIA 11077",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007571077",
            "telephone_number": "787-427-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO BALBES",
        "first_name": "LUIS",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-11",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TCAMB 691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PROLIFE",
            "last_name": "SERVICE",
            "middle_name": "AMBULANCE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Isabel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.