Medina Medical Transport Corporation

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MEDINA MEDICAL TRANSPORT CORPORATION

Practice address

Carr 3 KM 19.8 Marginal Villas de Loiza
Canovanas, PR 00729

Phone

(787) 355-0201

Fax

(787) 500-7066

NPI assigned

Feb 27, 2023

Last updated

Mar 21, 2023By 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

Raul MedinaNPI 1043464993

Title

President

Phone

(787) 355-0201

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, and the practitioner matching its NPPES authorized official.

• Raul Medina

  • Land Ambulance
  • Luquillo, PR
  • NPI 1043464993

  Land Transport

  NPD Authorized official

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1780383901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007290510",
            "telephone_number": "787-355-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 3 KM 19.8 MARGINAL VILLAS DE LOIZA",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-355-0201",
            "fax_number": "787-500-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA MEDICAL TRANSPORT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-355-0201"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULANCE",
            "identifier": "TC-AMB-137091",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Laura Martinez, MD
• Edwin Martinez, MD
• Naylu Noherry Martinez, MSW, MD
• Eneida A Mateo, MSW
• Medical Service of PR CSP
• Medina Medical Transport EMS Corp.
• Zulma Maria Melendez, PHARMACYST
• Javier Isai Mendez Lozada, PSYD
• Josem Omar Mendez Rios
• Joaquin R. Mendez Sr., M.D.

• Land Ambulance in Canovanas, PR
• Providers in Canovanas, 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 Mar 21, 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.