Organization Active NPI

CMC Ambulance & Non Emergency Transport

  • Ambulance
  • Trujillo Alto, PR
National Provider Identifier
1770142812
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on Feb 12, 2020

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)CodeLicenseStatePrimary
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 Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200213000683 PR Part B Supplier - Ambulance Service Supplier 2961838859 Practice locations: Trujillo Alto, PR

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.