Advance Emergency Care System Corp

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

ADVANCE EMERGENCY CARE SYSTEM CORP

Practice address

Calle Ruiz Belvis Esq Hostos Num 30
San Sebastian, PR 00685-2635

Phone

(939) 339-3140

Fax

(787) 551-7104

NPI assigned

Oct 12, 2021

Last updated

May 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Neftali Ruperto Gonzalez

Title

Owner

Phone

(939) 339-3140

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1922760404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 9 BOX 90925",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006856526",
            "telephone_number": "939-339-3140",
            "fax_number": "787-551-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE RUIZ BELVIS ESQ HOSTOS NUM 30",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852635",
            "telephone_number": "939-339-3140",
            "fax_number": "787-551-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE EMERGENCY CARE SYSTEM CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "RUPERTO GONZALEZ",
        "authorized_official_first_name": "NEFTALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "939-339-3140"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TCAMB",
            "identifier": "TCAMB138786",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in San Sebastian, PR
• Providers in San Sebastian, PR by specialty
• Land Ambulance in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.