NPIMap

Organization Active NPI

Kystal Ambulance Corporation

  • Land Ambulance
  • Canovanas, PR
National Provider Identifier
1699866608
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TC-AMB 315 Issued in PR
Legal business name
KYSTAL AMBULANCE CORPORATION
Practice address
Carr 185 KM 8.1
Bo Campo Rico
Canovanas, PR 00729-0085
Phone
(787) 256-1233
Fax
(787) 731-4643
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Mr. Carlos A Ripoll
Title
Gerente General
Phone
(787) 316-3219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TC-AMB 315 PR Primary

Addresses

Primary practice location

Carr 185 KM 8.1
Bo Campo Rico
Canovanas, PR 00729-0085

Mailing address

PMB 20000
Box 85
Canovanas, PR 00729
Phone (787) 256-1233

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1699866608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 20000",
            "address_2": "BOX 85",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-256-1233",
            "fax_number": "787-731-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 185 KM 8.1",
            "address_2": "BO CAMPO RICO",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007290085",
            "telephone_number": "787-256-1233",
            "fax_number": "787-731-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYSTAL AMBULANCE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "RIPOLL",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "GERENTE GENERAL",
        "authorized_official_telephone_number": "787-316-3219",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC-AMB 315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.