Organization Active NPI

Sergio Lopez Soba

  • Land Ambulance
  • Ponce, PR
National Provider Identifier
1851694392
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2677CP Issued in PR
Legal business name
SERGIO LOPEZ SOBA
Doing business as
SERGIO AMBULANCE SERVICE
Practice address
Cond Tabaiba GDNS
Ave Hungria 276
Ponce, PR 00716-1384
Phone
(787) 219-9207
Fax
(787) 843-0376
NPI assigned
Dec 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Mr. Sergio Lopez Soba
Title
Dueno
Phone
(787) 219-9207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2677CP PR Primary

Addresses

Primary practice location

Cond Tabaiba GDNS
Ave Hungria 276
Ponce, PR 00716-1384

Mailing address

5220 Calle Lorencita Ferrer
El Tuque
Ponce, PR 00728-4832
Phone (787) 219-9207

Other names 1

  • SERGIO AMBULANCE SERVICE 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": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1851694392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 CALLE LORENCITA FERRER",
            "address_2": "EL TUQUE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007284832",
            "telephone_number": "787-219-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND TABAIBA GDNS",
            "address_2": "AVE HUNGRIA 276",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161384",
            "telephone_number": "787-219-9207",
            "fax_number": "787-843-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGIO LOPEZ SOBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "LOPEZ SOBA",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "DUENO",
        "authorized_official_telephone_number": "787-219-9207",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "2677CP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERGIO AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.