Active NPI
Carlos A Vazquez Serrano
- Land Ambulance
- Juana Diaz, PR
National Provider Identifier
1932357159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- TCAMB 506
- Practice address
- Urbanizacion Extension la Fe
Calle San Juan D 53
Juana Diaz, PR 00795 - Phone
- (787) 260-0335
- Fax
- (787) 984-5334
- NPI assigned
- Aug 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | TCAMB 506 | PR | Primary |
Addresses
Primary practice location
Urbanizacion Extension la Fe
Calle San Juan D 53
Juana Diaz, PR 00795
Mailing address
HC 3 Box 10947
Juana Diaz, PR 00795-9502
Phone (787) 260-0335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080227000039 | PR | Part B Supplier - Ambulance Service Supplier | 3476637661 | Practice locations: Juana Diaz, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TCAMB 506 | PR | MD | Land Ambulance |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vazquez Medical Transport, LLC | Land Transport | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256774400000",
"number": "1932357159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 3 BOX 10947",
"city": "JUANA DIAZ",
"state": "PR",
"postal_code": "007959502",
"telephone_number": "787-260-0335",
"fax_number": "787-984-5334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URBANIZACION EXTENSION LA FE",
"address_2": "CALLE SAN JUAN D 53",
"city": "JUANA DIAZ",
"state": "PR",
"postal_code": "00795",
"telephone_number": "787-260-0335",
"fax_number": "787-984-5334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ SERRANO",
"first_name": "CARLOS",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-29",
"last_updated": "2009-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PR",
"license": "TCAMB 506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Juana Diaz, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.