Divino Nino Medical Transport LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

TC AMB 542 Issued in PR

Legal business name

DIVINO NINO MEDICAL TRANSPORT LLC

Practice address

Carr 5507 KM 0.1
Bo Velazquez
Santa Isabel, PR 00757

Phone

(787) 845-2290

NPI assigned

May 18, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Luis F MoralesNPI 1093867061

Title

Presidente

Phone

(787) 845-2290

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luis F. Morales

  • Land Ambulance
  • Santa Isabel, PR
  • NPI 1093867061

  Land Transport

  NPD Authorized official

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675468800000",
    "number": "1710112990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1900",
            "city": "OROCOVIS",
            "state": "PR",
            "postal_code": "007201900",
            "telephone_number": "787-845-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 5507 KM 0.1",
            "address_2": "BO VELAZQUEZ",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-845-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINO NINO MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2023-02-04",
        "certification_date": "2023-02-04",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-845-2290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC AMB 542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMISION DE SERVICIO PUBLICO",
            "identifier": "TC AMB 542",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maribel De Jesus
• Sheila De Jesus
• De Medicos Primarios, Corp.
• Ocmarie Diaz Colon, MD
• Sharon L. Diaz Rodriguez
• Dr Paoli Vargas Medical Group
• Dres. Peguero E Iguina
• Ecb Humacao
• Elvin Obrien Echevarria Rosa, M.D.
• Rafael Y Encarnacion Cohen

• Land Ambulance in Santa Isabel, PR
• Providers in Santa Isabel, 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 Feb 4, 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.