Organization Active NPI

New Life Ambulance Corp

  • Land Ambulance
  • Bayamon, PR
National Provider Identifier
1962580282
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
NEW LIFE AMBULANCE CORP
Practice address
BC1 Calle 39
Rexville
Bayamon, PR 00957-4133
Phone
(787) 797-1737
Fax
(787) 279-3433
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Authorized official

Name
Efren Navia Santiago
Title
President
Phone
(787) 797-1737

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TC AMB-119 PR
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

BC1 Calle 39
Rexville
Bayamon, PR 00957-4133

Mailing address

PO Box 607071
Postnet PMBS
Bayamon, PR 00960-7071
Phone (787) 797-1737

Other identifiers 2

IdentifierTypeStateIssuer
820261OtherPRMEDICARE Y MUCHO MAS
80098OtherPRPREFERRED MEDICARE CHOICE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040120000185 PR Part B Supplier - Ambulance Service Supplier 2860393071 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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1962580282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607071",
            "address_2": "POSTNET PMBS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009607071",
            "telephone_number": "787-797-1737",
            "fax_number": "787-279-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BC1 CALLE 39",
            "address_2": "REXVILLE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009574133",
            "telephone_number": "787-797-1737",
            "fax_number": "787-279-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE AMBULANCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "NAVIA SANTIAGO",
        "authorized_official_first_name": "EFREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-797-1737"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC AMB-119",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "820261",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOICE",
            "identifier": "80098",
            "state": "PR"
        }
    ],
    "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 Dec 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.