Organization Active NPI

Cordmedic Transports

  • Land Ambulance
  • San Juan, PR
National Provider Identifier
1720726011
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CORDMEDIC TRANSPORTS
Practice address
Quebrada Arena Carr 1 K23 H0.9
00926-9522
San Juan, PR 00926-9522
Phone
(787) 585-8341
NPI assigned
May 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Authorized official

Name
Josue Cordero Sr., CEO
Title
Presidente
Phone
(787) 585-8341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

Quebrada Arena Carr 1 K23 H0.9
00926-9522
San Juan, PR 00926-9522

Mailing address

Bo Quebrada Arena 15 Camino Mangual
San Juan, PR 00926-9522
Phone (787) 585-8341

Other identifiers 1

IdentifierTypeStateIssuer
1185904-0017OtherPRPROVEEDOR DE TRASNPORTE EMERGENTE

Other names 1

  • CordMedic Transport Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Cordmedic Transport2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1720726011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BO QUEBRADA ARENA 15 CAMINO MANGUAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269522",
            "telephone_number": "787-585-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "QUEBRADA ARENA CARR 1 K23 H0.9",
            "address_2": "00926-9522",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269522",
            "telephone_number": "787-585-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDMEDIC TRANSPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "JOSUE",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-585-8341",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVEEDOR DE TRASNPORTE EMERGENTE",
            "identifier": "1185904-0017",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CordMedic Transport",
            "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 May 25, 2022; 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.