Organization Active NPI

Jimergency Medical Transport Inc.

  • Ambulance
  • Humacao, PR
National Provider Identifier
1891852315
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
2538284 Issued in PR
Legal business name
JIMERGENCY MEDICAL TRANSPORT INC.
Practice address
Carr 924 KM 3.3 Bo Collores Numero 7
Humacao, PR 00791
Phone
(787) 955-3360
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Mr. Carlos Antonio Astacio Castro
Title
President
Phone
(787) 955-3360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 2538284 PR Primary

Addresses

Primary practice location

Carr 924 KM 3.3 Bo Collores Numero 7
Humacao, PR 00791

Mailing address

PO Box 2017 PMB 574
Las Piedras, PR 00771
Phone (787) 955-3360

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080603000032 PR Part B Supplier - Ambulance Service Supplier 1052481017 Practice locations: Humacao, PR

National Provider Directory

National Provider Directory

Locations

69 Calle Cruz Ortiz Stella S
Humacao, PR 00791
Phone (787) 998-8666

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1891852315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2017 PMB 574",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00771",
            "telephone_number": "787-955-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 924 KM 3.3 BO COLLORES NUMERO 7",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-955-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMERGENCY MEDICAL TRANSPORT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "ASTACIO CASTRO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-955-3360",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PR",
            "license": "2538284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.