Active NPI
Guadamed Ambulance, Inc.
- Ambulance
- Gurabo, PR
National Provider Identifier
1902925969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 4126280
- Legal business name
- GUADAMED AMBULANCE, INC.
- Practice address
- HC 2 Box 12142
Gurabo, PR 00778-9613 - Phone
- (787) 949-3177
- Fax
- (787) 737-7603
- NPI assigned
- Mar 28, 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
- Mrs. Rebeca I Vega Diaz
- Title
- Administradora
- Phone
- (787) 949-3177
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 4126280 | PR | Primary |
Addresses
Primary practice location
HC 2 Box 12142
Gurabo, PR 00778-9613
Mailing address
HC 2 Box 12142
Gurabo, PR 00778-9613
Phone (787) 949-3177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070907000607 | PR | Part B Supplier - Ambulance Service Supplier | 7214020155 | Practice locations: Gurabo, PR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902925969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 2 BOX 12142",
"city": "GURABO",
"state": "PR",
"postal_code": "007789613",
"telephone_number": "787-949-3177",
"fax_number": "787-737-7603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 2 BOX 12142",
"city": "GURABO",
"state": "PR",
"postal_code": "007789613",
"telephone_number": "787-949-3177",
"fax_number": "787-737-7603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUADAMED AMBULANCE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VEGA DIAZ",
"authorized_official_first_name": "REBECA",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "ADMINISTRADORA",
"authorized_official_telephone_number": "787-949-3177",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "PR",
"license": "4126280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gurabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.