Active NPI
CMC Ambulance & Non Emergency Transport
- Ambulance
- Trujillo Alto, PR
National Provider Identifier
1770142812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- CMC AMBULANCE & NON EMERGENCY TRANSPORT
- Practice address
- Carr 848 KM 0.7
Edificio 3 Oficina 203 Bo Saint Just
Trujillo Alto, PR 00978 - Phone
- (787) 550-6218
- NPI assigned
- Jun 12, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brendaliz Rodriguez
- Title
- President
- Phone
- (787) 983-7961
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary | ||
| Land Ambulance | 3416L0300X | |||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
Carr 848 KM 0.7
Edificio 3 Oficina 203 Bo Saint Just
Trujillo Alto, PR 00978
Mailing address
PO Box 810061
Carolina, PR 00981-0061
Phone (787) 983-7961
Other practice location 1
Paraiso de Carolina
E7 Calle Beso del Mar
Carolina, PR 00983-0098
Phone (787) 983-7961
Other names 1
- CMC Ambulance & Non Emergency Transport LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200213000683 | PR | Part B Supplier - Ambulance Service Supplier | 2961838859 | Practice locations: Trujillo Alto, PR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581465600000",
"number": "1770142812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 810061",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009810061",
"telephone_number": "787-983-7961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 848 KM 0.7",
"address_2": "EDIFICIO 3 OFICINA 203 BO SAINT JUST",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00978",
"telephone_number": "787-550-6218"
}
],
"practiceLocations": [
{
"address_1": "Paraiso de Carolina",
"address_2": "E7 Calle Beso del Mar",
"address_purpose": "LOCATION",
"city": "Carolina",
"state": "PR",
"postal_code": "009830098",
"country_code": "US",
"telephone_number": "787-983-7961",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CMC AMBULANCE & NON EMERGENCY TRANSPORT",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-12",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "BRENDALIZ",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-983-7961",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CMC Ambulance & Non Emergency Transport LLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "CMC Ambulance & Non Emergency Transport LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Trujillo Alto, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.