Life Shield Ambulance Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

TC - AMB 637 Issued in PR

Legal business name

LIFE SHIELD AMBULANCE INC.

Practice address

406 Ave San Claudio
Suite 7
San Juan, PR 00926-4117

Phone

(787) 698-2506

NPI assigned

Feb 9, 2010

Last updated

Dec 6, 2011By 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

Miss Brunilda Baez Stella

Title

President

Phone

(787) 698-2506

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1841522208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 AVE SAN CLAUDIO",
            "address_2": "SUITE 7",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264117",
            "telephone_number": "787-698-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 AVE SAN CLAUDIO",
            "address_2": "SUITE 7",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264117",
            "telephone_number": "787-698-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SHIELD AMBULANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "BAEZ STELLA",
        "authorized_official_first_name": "BRUNILDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-698-2506",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC - AMB 637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.