I-Care Medical Transport

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

I-CARE MEDICAL TRANSPORT

Practice address

Urbanizacion Santa Maria F17 Calle 7
Ceiba, PR 00735

Phone

(787) 428-6339

NPI assigned

May 20, 2021

Last updated

Sep 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tatiana Ivelise Matta, RN

Title

President

Phone

(787) 428-6339

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1992370225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION SANTA MARIA F17 CALLE 7",
            "city": "CEIBA",
            "state": "PR",
            "postal_code": "00735",
            "telephone_number": "787-428-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URBANIZACION SANTA MARIA F17 CALLE 7",
            "city": "CEIBA",
            "state": "PR",
            "postal_code": "00735",
            "telephone_number": "787-428-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I-CARE MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "MATTA",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_middle_name": "IVELISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-428-6339",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolas Gomez Amalbert, MD
• Myrna Gomez, RPH
• Grupo Medico Costa Este Inc.
• Somayra Hernandez Diaz, PA
• Holistic Allies PR LLC
• Java Med, P.S.C.
• Laboratorio Clinico Ceibeno LLC
• Edwin Antonio Laboy, PHARMACY TECH
• Edwin E Lafontaine, DMD
• Zoryleen Llanos Ferrer

• Land Ambulance in Ceiba, PR
• Providers in Ceiba, 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 Sep 14, 2021; 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.