Active NPI
Life Alert Ambulance Inc
- Ambulance
- Quebradillas, PR
National Provider Identifier
1790255289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- LIFE ALERT AMBULANCE INC
- Practice address
- Carr 113 KM 13.1 Bo Cacao Sector la Romana
Local1
Quebradillas, PR 00678-9998 - Phone
- (787) 608-6745
- NPI assigned
- Nov 28, 2018
- 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
- Magaly Samalot Domenech
- Title
- President
- Phone
- (787) 608-6745
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
Carr 113 KM 13.1 Bo Cacao Sector la Romana
Local1
Quebradillas, PR 00678-9998
Mailing address
PO Box 264
Quebradillas, PR 00678-0264
Phone (787) 608-6745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201015002731 | PR | Part B Supplier - Ambulance Service Supplier | 7719307586 | Practice locations: Quebradillas, PR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764720000000",
"number": "1790255289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 264",
"city": "QUEBRADILLAS",
"state": "PR",
"postal_code": "006780264",
"telephone_number": "787-608-6745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 113 KM 13.1 BO CACAO SECTOR LA ROMANA",
"address_2": "LOCAL1",
"city": "QUEBRADILLAS",
"state": "PR",
"postal_code": "006789998",
"telephone_number": "787-608-6745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE ALERT AMBULANCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-28",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A",
"authorized_official_last_name": "SAMALOT DOMENECH",
"authorized_official_first_name": "MAGALY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-608-6745"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quebradillas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.