Quality Life Assistance Services, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

QUALITY LIFE ASSISTANCE SERVICES, INC

Practice address

Carr 735
Detras Radar Att
Cayey, PR 00737

Phone

(787) 738-8122

Fax

(787) 738-2700

NPI assigned

Oct 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jose Castrodad Rivera

Title

Presidente

Phone

(787) 738-8122

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710060553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371298",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007371298",
            "telephone_number": "787-738-8122",
            "fax_number": "787-738-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 735",
            "address_2": "DETRAS RADAR ATT",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00737",
            "telephone_number": "787-738-8122",
            "fax_number": "787-738-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY LIFE ASSISTANCE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "CASTRODAD",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-738-8122",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMISION SERVICIO PUBLICO",
            "identifier": "TCAMB 431",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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.