Premedical Life Support

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PREMEDICAL LIFE SUPPORT

Practice address

Calle 20 #34 Bda Polvorin
Cayey, PR 00736

Phone

(787) 473-1983

NPI assigned

Oct 8, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Bryan Ortiz

Title

Presidente

Phone

(787) 473-1983

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602374400000",
    "number": "1992302210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370657",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007370657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 20 #34 BDA POLVORIN",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-473-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMEDICAL LIFE SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-11",
        "certification_date": "2020-10-11",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-473-1983",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugenio A Portela Asenio, MD
• Melisa Portela de la Luz
• PR Ms Hope Center LLC
• Precision Robotics, LLC
• Premedical Ambulance LLC
• Pro Health Infusion
• Professional Education Care Service Center
• Psychotherapeutic Health System, PSC
• Psychotherapeutic Health System, PSC
• Puerto Rico Cardiac Arrhythmia Management LLC

• Land Ambulance in Cayey, PR
• Providers in Cayey, PR by specialty
• Land Ambulance in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2020; 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.