Organization Active NPI

Rafael Perez Molina

Doing business as Angel Life Ambulance

  • Land Ambulance
  • Hatillo, PR
National Provider Identifier
1891916052
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TCAMB 406 Issued in PR
Legal business name
RAFAEL PEREZ MOLINA
Doing business as
Angel Life Ambulance
Practice address
Carr Num 2 KM 84.7 Bo Carrizales
Urb Alturas Calle Jardin Suite 3
Hatillo, PR 00659-0000
Phone
(787) 820-7500
Fax
(787) 820-7500
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Authorized official

Name
Rafael Perez Molina
Title
Owner
Phone
(787) 820-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TCAMB 406 PR Primary

Addresses

Primary practice location

Carr Num 2 KM 84.7 Bo Carrizales
Urb Alturas Calle Jardin Suite 3
Hatillo, PR 00659-0000

Mailing address

PO Box 951
Hatillo, PR 00659-0951
Phone (787) 820-7500

Other identifiers 2

IdentifierTypeStateIssuer
57983ANOtherPRSSS REFORMA
991627OtherPRPMC

Other names 1

  • Angel Life Ambulance Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1891916052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006590951",
            "telephone_number": "787-820-7500",
            "fax_number": "787-820-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR NUM 2 KM 84.7 BO CARRIZALES",
            "address_2": "URB ALTURAS CALLE JARDIN SUITE 3",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006590000",
            "telephone_number": "787-820-7500",
            "fax_number": "787-820-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL PEREZ MOLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "PEREZ MOLINA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-820-7500"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TCAMB 406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS REFORMA",
            "identifier": "57983AN",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC",
            "identifier": "991627",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angel Life Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hatillo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.