Active NPI
MMT Medical Transport LLC
- Ambulance
- Manati, PR
National Provider Identifier
1932773280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- MMT MEDICAL TRANSPORT LLC
- Practice address
- Carr 149 Esq 668 KM 1.4
Bo Sabana Seca
Manati, PR 00674-6198 - Phone
- (787) 502-1066
- Fax
- (787) 884-0303
- NPI assigned
- May 19, 2021
- Last updated
- Jul 3, 2024
- 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
- Mr. Jose Rodrigo Marti Ramirez de Arellano
- Title
- Presidente- Secretario
- Phone
- (787) 502-1066
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | Primary |
Addresses
Primary practice location
Carr 149 Esq 668 KM 1.4
Bo Sabana Seca
Manati, PR 00674-6198
Mailing address
14 Bo Sabana Seca
Manati, PR 00674-6198
Phone (787) 203-1066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240812004332 | PR | Part B Supplier - Ambulance Service Supplier | 2668910423 | Practice locations: Manati, PR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719964800000",
"number": "1932773280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 BO SABANA SECA",
"city": "MANATI",
"state": "PR",
"postal_code": "006746198",
"telephone_number": "787-203-1066",
"fax_number": "787-884-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 149 ESQ 668 KM 1.4",
"address_2": "BO SABANA SECA",
"city": "MANATI",
"state": "PR",
"postal_code": "006746198",
"telephone_number": "787-502-1066",
"fax_number": "787-884-0303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MMT MEDICAL TRANSPORT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-19",
"last_updated": "2024-07-03",
"certification_date": "2024-06-26",
"status": "A",
"authorized_official_last_name": "MARTI RAMIREZ DE ARELLANO",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "RODRIGO",
"authorized_official_title_or_position": "PRESIDENTE- SECRETARIO",
"authorized_official_telephone_number": "787-502-1066",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manati, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.