Active NPI
New Life Ambulance Corp
- Land Ambulance
- Bayamon, PR
National Provider Identifier
1962580282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 820261 | Other | PR | MEDICARE Y MUCHO MAS |
| 80098 | Other | PR | PREFERRED MEDICARE CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040120000185 | PR | Part B Supplier - Ambulance Service Supplier | 2860393071 | Practice locations: Bayamon, PR |
National Provider Directory
National Provider DirectoryNPI 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.