South Medical Response

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SOUTH MEDICAL RESPONSE

Practice address

296 Betances
Suite 7
Mayaguez, PR 00680-1132

Phone

(787) 405-2227

NPI assigned

Apr 21, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Manuel J Cruz, BSN

Title

President

Phone

(939) 320-9011

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1700520202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CALLE DUARTE",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821132",
            "telephone_number": "787-405-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 BETANCES",
            "address_2": "SUITE 7",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801132",
            "telephone_number": "787-405-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MEDICAL RESPONSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-04",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-320-9011",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Soto, PHARMD
• Clarissa Elaine Soto
• Jennifer Soto
• Natalia M Soto, M.D.
• Navid Souferzadeh, M.D.
• Southwest Health Corp
• Special Care Dentistry LLC
• Special Needs Services
• Jaime Speulveda, MD
• St Lukes Episcopal Church Home Care Program

• Land Ambulance in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Land Ambulance in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.

Verify at the official NPI Registry.