Active NPI
Puerto Rico Emergency Medical Service and Transportation Corp
- Land Ambulance
- Santa Isabel, PR
National Provider Identifier
1861135063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- PUERTO RICO EMERGENCY MEDICAL SERVICE AND TRANSPORTATION CORP
- Practice address
- Calle Miramar 25a
Playita Cortada
Santa Isabel, PR 00757 - Phone
- (787) 904-0301
- NPI assigned
- Apr 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Josue R Famania Morales
- Title
- President
- Phone
- (787) 904-0301
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
Calle Miramar 25a
Playita Cortada
Santa Isabel, PR 00757
Mailing address
PO Box 448
Santa Isabel, PR 00757-0448
Phone (787) 904-0301
Other names 1
- PREMS AMBULANCE SERVICE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220816003779 | PR | Part B Supplier - Ambulance Service Supplier | 3678956190 | Practice locations: Santa Isabel, PR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674950400000",
"number": "1861135063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 448",
"city": "SANTA ISABEL",
"state": "PR",
"postal_code": "007570448",
"telephone_number": "787-904-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE MIRAMAR 25A",
"address_2": "PLAYITA CORTADA",
"city": "SANTA ISABEL",
"state": "PR",
"postal_code": "00757",
"telephone_number": "787-904-0301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUERTO RICO EMERGENCY MEDICAL SERVICE AND TRANSPORTATION CORP",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-15",
"last_updated": "2023-01-29",
"certification_date": "2023-01-29",
"status": "A",
"authorized_official_last_name": "FAMANIA MORALES",
"authorized_official_first_name": "JOSUE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-904-0301"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PREMS AMBULANCE SERVICE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Santa Isabel, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2023; 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.