Organization Active NPI

United EMS Penuelas

  • Ambulance
  • Penuelas, PR
National Provider Identifier
1982465464
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
UNITED EMS PENUELAS
Practice address
Carr 132 KM 8.6 Bo Santo Domingo
Penuelas, PR 00624
Phone
(787) 241-6590
Fax
(787) 777-1577
NPI assigned
Jan 22, 2024
Last updated
Dec 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Victor Rivera Rodriguez
Title
Presidente
Phone
(787) 949-6799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary

Addresses

Primary practice location

Carr 132 KM 8.6 Bo Santo Domingo
Penuelas, PR 00624

Mailing address

PO Box 1880
Bayamon, PR 00960-1880
Phone (787) 949-6799

Other names 1

  • UNITED EMS PENUELAS Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241204002445 PR Part B Supplier - Ambulance Service Supplier 0244766020 Practice locations: Penuelas, 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": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1982465464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1880",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009601880",
            "telephone_number": "787-949-6799",
            "fax_number": "787-777-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 132 KM 8.6 BO SANTO DOMINGO",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "00624",
            "telephone_number": "787-241-6590",
            "fax_number": "787-777-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED EMS PENUELAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "RIVERA RODRIGUEZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-949-6799"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITED EMS PENUELAS",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "UNITED EMS PENUELAS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Penuelas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.

Verify at the official NPI Registry.