Organization Active NPI

Jr Medical Transport Corp

  • Land Ambulance
  • Arecibo, PR
National Provider Identifier
1972199255
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
JR MEDICAL TRANSPORT CORP
Practice address
Bo Santana PR 2 KM 69.3 Local 2
Arecibo, PR 00674
Phone
(787) 552-5556
NPI assigned
Dec 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Mr. Emanuel Rivera RiveraNPI 1619583358
Title
President
Phone
(787) 515-2294

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

Bo Santana PR 2 KM 69.3 Local 2
Arecibo, PR 00674

Mailing address

Reparto Mejias 1031
Manati, PR 00674
Phone (787) 552-5556

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SECUREPMS.COM Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210720001068 PR Part B Supplier - Ambulance Service Supplier 1355744939 Practice locations: Arecibo, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1972199255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "REPARTO MEJIAS 1031",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-552-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO SANTANA PR 2 KM 69.3 LOCAL 2",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-552-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR MEDICAL TRANSPORT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "RIVERA RIVERA",
        "authorized_official_first_name": "EMANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-515-2294",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SECUREPMS.COM",
            "affiliation": "N",
            "endpointDescription": "CLEARINGHOUSE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "BO SANTANA PR 2 KM 69.3 LOCAL 2",
            "city": "ARECIBO",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.