Organization Active NPI

Pablo Rosario Ortiz

  • Land Ambulance
  • Juncos, PR
National Provider Identifier
1790997617
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TCAMB163 Issued in PR
Legal business name
PABLO ROSARIO ORTIZ
Doing business as
Cordova Ambulance Services
Practice address
Carretera 929 KM 1
Bo Lirios
Juncos, PR 00777
Phone
(787) 734-0474
Fax
(787) 734-0777
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Mr. Pablo RosarioNPI 1518973387
Title
Administrador
Phone
(787) 734-0474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TCAMB163 PR Primary

Addresses

Primary practice location

Carretera 929 KM 1
Bo Lirios
Juncos, PR 00777

Mailing address

PO Box 2708
Juncos, PR 00777
Phone (787) 734-0474

Other identifiers 5

IdentifierTypeStateIssuer
6107OtherPRAMERICAN HEALTH MEDICARE
8100028OtherPRHUMANA
9003134OtherPRACAA
PMCOtherPR990295
890272OtherPRMEDICARE Y MUCHO MAS

Other names 1

  • Cordova Ambulance Services 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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1790997617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2708",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "00777",
            "telephone_number": "787-734-0474",
            "fax_number": "787-734-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 929 KM 1",
            "address_2": "BO LIRIOS",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "00777",
            "telephone_number": "787-734-0474",
            "fax_number": "787-734-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PABLO ROSARIO ORTIZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "ROSARIO",
        "authorized_official_first_name": "PABLO",
        "authorized_official_title_or_position": "ADMINISTRADOR",
        "authorized_official_telephone_number": "787-734-0474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TCAMB163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH MEDICARE",
            "identifier": "6107",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "8100028",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACAA",
            "identifier": "9003134",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "990295",
            "identifier": "PMC",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "890272",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cordova Ambulance Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Juncos, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.