Mse Air Group Inc

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

TCAMB-(A)-03 Issued in PR

Legal business name

MSE AIR GROUP INC

Doing business as

Aviane Air Ambulance

Practice address

Hangar-Aviane Lot D at North Side
Isla Grande Airport
San Juan, PR 00907

Phone

(787) 907-1585

Fax

(787) 907-1588

NPI assigned

Apr 21, 2006

Last updated

May 16, 2012By 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

Mr. Juan M Carro

Title

President

Phone

(787) 871-0207

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Aviane Air Ambulance Doing business as

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1821054610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1717",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006381717",
            "telephone_number": "787-871-0207",
            "fax_number": "787-871-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HANGAR-AVIANE LOT D AT NORTH SIDE",
            "address_2": "ISLA GRANDE AIRPORT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-907-1585",
            "fax_number": "787-907-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSE AIR GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "CARRO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-871-0207",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "PR",
            "license": "S0420TCAMBA03",
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "PR",
            "license": "TCAMB-(A)-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE OF THE PR PUBLIC COMMISSION SERVICE",
            "identifier": "TCAMB-(A)-03",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056817",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821054610",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aviane Air Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Air Ambulance in San Juan, PR
• Providers in San Juan, PR by specialty
• Air Ambulance in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.