Organization Active NPI

Procura Ambulance LLC

  • Land Ambulance
  • San Juan, PR
National Provider Identifier
1871258095
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PROCURA AMBULANCE LLC
Practice address
1386 Calle San Jacinto
San Juan, PR 00921-3832
Phone
(787) 995-7090
NPI assigned
Nov 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Brenda Reyes
Title
Presidente
Phone
(939) 266-8686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1386 Calle San Jacinto
San Juan, PR 00921-3832

Mailing address

PO Box 7017
Caguas, PR 00726-7017
Phone (787) 995-7090

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Breyes@procuraambulance.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230131001735 PR Part B Supplier - Ambulance Service Supplier 6709257603 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

1386 Calle San Jacinto
San Juan, PR 00921
Phone (787) 995-7090

Interoperability endpoints

  • Direct secure messaging: breyes@procuraambulance.com

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1871258095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7017",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007267017",
            "telephone_number": "787-995-7090",
            "fax_number": "787-946-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1386 CALLE SAN JACINTO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213832",
            "telephone_number": "787-995-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCURA AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "939-266-8686"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Breyes@procuraambulance.com",
            "affiliation": "N",
            "address_1": "1386 Calle San Jacinto",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009213832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.