Professional Ambulance

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

TC AMB 130 Issued in PR

Legal business name

PROFESSIONAL AMBULANCE

Practice address

Parcelas Amalia Marin
Calle Dorado Final
Ponce, PR 00734

Phone

(787) 844-1168

Fax

(787) 844-2326

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Luis Rodriguez

Title

Director

Phone

(787) 844-1168

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790793743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34477",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007344477",
            "telephone_number": "787-844-1168",
            "fax_number": "787-844-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PARCELAS AMALIA MARIN",
            "address_2": "CALLE DORADO FINAL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00734",
            "telephone_number": "787-844-1168",
            "fax_number": "787-844-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-844-1168",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC AMB 130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Medical Group,C.S.P.
• Primary Medical Group,C.S.P.
• Priority Emergency Response Corp
• Priority Medical Management LLC
• Pro-Care Medical Equipment, Inc.
• Professional Integrated Medical Solution,PSC
• Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas, Inc
• Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas, Inc
• Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas, Inc
• Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas, Inc.

• All providers in Ponce, PR
• Land Ambulance in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.