Organization Active NPI

JL Ambulance Service

  • Ambulance
  • Naguabo, PR
National Provider Identifier
1861744682
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
001425 Issued in PR
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

Updated by the provider on Dec 13, 2013

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20220809000910 PR Part B Supplier - Ambulance Service Supplier 2769864685 Practice locations: Humacao, PR

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.