Organization Active NPI

Michael Beretta

  • Land Ambulance
  • San Juan, PR
National Provider Identifier
1972687069
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TC AMB 482 Issued in PR
Legal business name
MICHAEL BERETTA
Practice address
B11 Calle 10
Ext. San Agustin
San Juan, PR 00926-1909
Phone
(787) 478-2050
Fax
(787) 764-7796
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Authorized official

Name
Michael A Beretta
Title
Owner
Phone
(787) 646-0840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TC AMB 482 PR Primary

Addresses

Primary practice location

B11 Calle 10
Ext. San Agustin
San Juan, PR 00926-1909

Mailing address

B11 Calle 10
Ext. San Agustin
San Juan, PR 00926-1909

Other names 1

  • REAL AMBULANCE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1972687069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B11 CALLE 10",
            "address_2": "EXT. SAN AGUSTIN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009261909",
            "fax_number": "787-764-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B11 CALLE 10",
            "address_2": "EXT. SAN AGUSTIN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009261909",
            "telephone_number": "787-478-2050",
            "fax_number": "787-764-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL BERETTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "BERETTA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-646-0840"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC AMB 482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REAL AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.