Organization Active NPI

Diana Lopez Soba

Doing business as Isla Ambulance Service

  • Land Ambulance
  • Mayaguez, PR
National Provider Identifier
1790106029
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TCAMB-446 Issued in PR
Legal business name
DIANA LOPEZ SOBA
Doing business as
Isla Ambulance Service
Practice address
13 Reparto Feliciano
Apto 1a
Mayaguez, PR 00681
Phone
(787) 530-2364
NPI assigned
Jan 6, 2014
Last updated
Sep 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Authorized official

Name
Mrs. Diana LopezNPI 1366512253
Title
Administrator
Phone
(787) 530-2364

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TCAMB-446 PR Primary

Addresses

Primary practice location

13 Reparto Feliciano
Apto 1a
Mayaguez, PR 00681

Mailing address

PO Box 1243
Mayaguez, PR 00681-1243
Phone (787) 530-2364

Other identifiers 1

IdentifierTypeStateIssuer
TCAMB-446OtherPRCSP AMBULANCE CERTIFICATION

Other names 1

  • Isla Ambulance Service Doing business as

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1790106029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1243",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811243",
            "telephone_number": "787-530-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 REPARTO FELICIANO",
            "address_2": "APTO 1A",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00681",
            "telephone_number": "787-530-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA LOPEZ SOBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-530-2364",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TCAMB-446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSP AMBULANCE CERTIFICATION",
            "identifier": "TCAMB-446",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Isla Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.