Organization Active NPI

Angeles Ambulance Inc

  • Land Ambulance
  • Bayamon, PR
National Provider Identifier
1902098346
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TC AMB 374 Issued in PR
Legal business name
ANGELES AMBULANCE INC
Practice address
Avenida Orquidea an 15
Urb Reparto Valencia
Bayamon, PR 00951
Phone
(787) 586-2567
Fax
(787) 961-6925
NPI assigned
Aug 9, 2007
Last updated
Aug 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Omar Josue Aponte Lopez Sr.
Title
President
Phone
(787) 586-2567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TC AMB 374 PR Primary

Addresses

Primary practice location

Avenida Orquidea an 15
Urb Reparto Valencia
Bayamon, PR 00951

Mailing address

182 Via San Luis
Valle San Luis
Caguas, PR 00725-3356
Phone (787) 586-2567

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051201000406 PR Part B Supplier - Ambulance Service Supplier 6608896998 Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1902098346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 VIA SAN LUIS",
            "address_2": "VALLE SAN LUIS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253356",
            "telephone_number": "787-586-2567",
            "fax_number": "787-961-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA ORQUIDEA AN 15",
            "address_2": "URB REPARTO VALENCIA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00951",
            "telephone_number": "787-586-2567",
            "fax_number": "787-961-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELES AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "APONTE LOPEZ",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "JOSUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-586-2567",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC AMB 374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.