Organization Active NPI

MTS Ambulance LLC

  • Ambulance
  • Hialeah, FL
National Provider Identifier
1992492896
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
MTS AMBULANCE LLC
Practice address
2300 W 84TH St Ste 101
Hialeah, FL 33016-5771
Phone
(954) 888-8682
NPI assigned
Apr 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
David Grayson
Title
Manager
Phone
(769) 223-4169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

2300 W 84TH St Ste 101
Hialeah, FL 33016-5771

Mailing address

14750 NW 77TH CT Ste 313
Miami Lakes, FL 33016-1537
Phone (786) 606-0668

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250905002466 FL Part B Supplier - Ambulance Service Supplier 3678075942 Practice locations: Miami Lakes, FL

National Provider Directory

National Provider Directory

Locations

2300 W 84th St
Ste 101
Miami Lakes, FL 33016
Phone (786) 666-0465

14750 NW 77th Ct
Ste 313
Miami Lakes, FL 33016
Phone (800) 360-3211

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1992492896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 NW 77TH CT STE 313",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161537",
            "telephone_number": "786-606-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W 84TH ST STE 101",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165771",
            "telephone_number": "954-888-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTS AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "769-223-4169"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.