Active NPI
JL Ambulance Service
- Ambulance
- Naguabo, PR
National Provider Identifier
1861744682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 001425
- Legal business name
- JL AMBULANCE SERVICE
- Practice address
- Bo Pena Pobre Cuesta El Pilon
Naguabo, PR 00718-0301 - Phone
- (787) 607-4638
- Fax
- (787) 465-0586
- NPI assigned
- Oct 3, 2012
- 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
- Mr. Jose J Lopez Serrano
- Title
- Presidente
- Phone
- (787) 607-4638
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 001425 | PR | Primary |
Addresses
Primary practice location
Bo Pena Pobre Cuesta El Pilon
Naguabo, PR 00718-0301
Mailing address
PO Box 374
Rio Blanco, PR 00744-0374
Phone (787) 607-4638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220809000910 | PR | Part B Supplier - Ambulance Service Supplier | 2769864685 | Practice locations: Humacao, PR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386892800000",
"number": "1861744682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 374",
"city": "RIO BLANCO",
"state": "PR",
"postal_code": "007440374",
"telephone_number": "787-607-4638",
"fax_number": "787-465-0586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO PENA POBRE CUESTA EL PILON",
"city": "NAGUABO",
"state": "PR",
"postal_code": "007180301",
"telephone_number": "787-607-4638",
"fax_number": "787-465-0586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JL AMBULANCE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-03",
"last_updated": "2013-12-13",
"status": "A",
"authorized_official_last_name": "LOPEZ SERRANO",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENTE",
"authorized_official_telephone_number": "787-607-4638",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "PR",
"license": "001425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naguabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.