Cardiac Life Ambulance LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CARDIAC LIFE AMBULANCE LLC

Practice address

Carretera 116 KM 1.7 Bo. Sabana Yeguas
Lajas, PR 00667

Phone

(787) 205-3183

NPI assigned

Aug 30, 2022

Last updated

Aug 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chalitza Vargas

Title

President

Phone

(787) 205-3183

Specialties & licenses 1

Addresses

Other names 1

• CARDIAC LIFE AMBULANCE LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1881314995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION ESTANCIAS DEL PARRA CALLE RED 136",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "00667",
            "telephone_number": "787-205-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 116 KM 1.7 BO. SABANA YEGUAS",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "00667",
            "telephone_number": "787-205-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC LIFE AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "CHALITZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-205-3183"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARDIAC LIFE AMBULANCE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Land Ambulance in Lajas, PR
• Providers in Lajas, PR by specialty
• Land Ambulance in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.