Individual provider Active NPI

Gabriel Inguanzo

  • Land Ambulance
  • Laredo, TX
National Provider Identifier
1174881429
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1000603 Issued in TX
Practice address
4401 Hwy 359
Suite 5
Laredo, TX 78043-4742
Phone
(956) 220-4432
Fax
(956) 727-4901
NPI assigned
Apr 24, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1000603 TX Primary

Addresses

Primary practice location

4401 Hwy 359
Suite 5
Laredo, TX 78043-4742

Mailing address

4401 Hwy 359
Suite 5
Laredo, TX 78043-4742
Phone (956) 220-4432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1000603TXMDLand Ambulance

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1174881429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 HWY 359",
            "address_2": "SUITE 5",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780434742",
            "telephone_number": "956-220-4432",
            "fax_number": "956-727-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 HWY 359",
            "address_2": "SUITE 5",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780434742",
            "telephone_number": "956-220-4432",
            "fax_number": "956-727-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGUANZO",
        "first_name": "GABRIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.