Active NPI
Luis G Santiago Balbes
- Land Ambulance
- Santa Isabel, PR
National Provider Identifier
1689933632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- TCAMB 691
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| TCAMB 691 | PR | MD | Land Ambulance |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santiago Ambulance Inc | Land Transport | Current | Accepting new patients |
| Luis G Santiago Balbes | Land Transport | Current | 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.