Active NPI
Jimergency Medical Transport Inc.
- Ambulance
- Humacao, PR
National Provider Identifier
1891852315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 2538284
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080603000032 | PR | Part B Supplier - Ambulance Service Supplier | 1052481017 | Practice locations: Humacao, PR |
National Provider Directory
National Provider DirectoryLocations
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.