Organization Active NPI

Gateway Ambulance Service,LLC

  • Land Ambulance
  • Laredo, TX
National Provider Identifier
1255587606
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1000164 Issued in TX
Legal business name
GATEWAY AMBULANCE SERVICE,LLC
Practice address
720 Laredo St
Laredo, TX 78040-7917
Phone
(956) 753-6411
Fax
(956) 753-6412
NPI assigned
Aug 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Authorized official

Name
Mr. Pablo Robert Bondoc
Title
President
Phone
(956) 753-6411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1000164 TX Primary

Addresses

Primary practice location

720 Laredo St
Laredo, TX 78040-7917

Mailing address

720 Laredo St
Laredo, TX 78040-5218
Phone (956) 753-6411

Other identifiers 1

IdentifierTypeStateIssuer
197191301MedicaidTX

National Provider Directory

National Provider Directory

Locations

720 Laredo St
Laredo, TX 78040
Phone (956) 753-6411

1308 Clark Blvd
Ste B
Laredo, TX 78040
Phone (956) 753-6411

1714 Cedar Ave
Laredo, TX 78040
Phone (956) 753-6411

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1255587606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 LAREDO ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405218",
            "telephone_number": "956-753-6411",
            "fax_number": "956-753-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 LAREDO ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780407917",
            "telephone_number": "956-753-6411",
            "fax_number": "956-753-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY AMBULANCE SERVICE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "BONDOC",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-753-6411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197191301",
            "state": "TX"
        }
    ],
    "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 May 26, 2011; 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.