NPIMap

Organization Active NPI

Promedic Ambulance Service

  • Land Ambulance
  • San Juan, PR
National Provider Identifier
1699759639
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PROMEDIC AMBULANCE SERVICE
Practice address
411 Soldado Alcides Reyes St.
San Agustin
San Juan, PR 00928
Phone
(787) 764-4882
Fax
(787) 754-7864
NPI assigned
Dec 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Velazquez Edgardo
Title
Director
Phone
(787) 764-4882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X PR Primary

Addresses

Primary practice location

411 Soldado Alcides Reyes St.
San Agustin
San Juan, PR 00928

Mailing address

411 Soldado Alcides Reyes St.
San Agustin
San Juan, PR 00928
Phone (787) 764-4882

Other names 1

  • PRO MEDIC AMBULANCE SERVICE CORP. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699759639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 SOLDADO ALCIDES REYES ST.",
            "address_2": "SAN AGUSTIN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00928",
            "telephone_number": "787-764-4882",
            "fax_number": "787-754-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 SOLDADO ALCIDES REYES ST.",
            "address_2": "SAN AGUSTIN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00928",
            "telephone_number": "787-764-4882",
            "fax_number": "787-754-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDIC AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDGARDO",
        "authorized_official_first_name": "VELAZQUEZ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-764-4882",
        "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": "PRO MEDIC AMBULANCE SERVICE CORP.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.