Albaladejo Group LLC

Key facts

NPI

1831873579

Entity type

Organization (NPI type 2)

Primary specialty

Land Ambulance 3416L0300X

Legal business name

ALBALADEJO GROUP LLC

Practice address

Carr 2 KM 25.7 Sector Laguna II
Bo Espinosa
Dorado, PR 00646

Phone

(787) 413-2171

NPI assigned

Jun 13, 2023

Organization subpart

No

Authorized official

Name

Jose Albaladejo Vazquez

Title

Presidente

Phone

(787) 413-2171

Medicare participation

Medicare fee-for-service enrollment

Enrolled in PR

Medicare enrollment records

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 13, 2023.

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1831873579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 477",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006920477",
            "telephone_number": "787-413-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 25.7 SECTOR LAGUNA II",
            "address_2": "BO ESPINOSA",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-413-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBALADEJO GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "ALBALADEJO VAZQUEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-413-2171"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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