Organization Active NPI

Life Guardians Ambulance Service Inc

  • Land Ambulance
  • Naranjito, PR
National Provider Identifier
1831373521
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TCAMB496 Issued in PR
Legal business name
LIFE GUARDIANS AMBULANCE SERVICE INC
Practice address
Carr 164 KM 7.5 Bo. Achiote Sector Cementerio
Naranjito, PR 00719-0262
Phone
(787) 479-7111
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Authorized official

Name
Luana Sierra Resto
Title
President
Phone
(787) 479-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TCAMB496 PR Primary

Addresses

Primary practice location

Carr 164 KM 7.5 Bo. Achiote Sector Cementerio
Naranjito, PR 00719-0262

Mailing address

PO Box 262
Naranjito, PR 00719-0262
Phone (787) 479-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080508000412 PR Part B Supplier - Ambulance Service Supplier 5294814745 Practice locations: Naranjito, PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1831373521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 262",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007190262",
            "telephone_number": "787-479-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 164 KM 7.5 BO. ACHIOTE SECTOR CEMENTERIO",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007190262",
            "telephone_number": "787-479-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE GUARDIANS AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "RESTO",
        "authorized_official_first_name": "LUANA",
        "authorized_official_middle_name": "SIERRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-479-7111"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TCAMB496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranjito, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.

Verify at the official NPI Registry.