Active NPI
Gateway Ambulance Service,LLC
- Land Ambulance
- Laredo, TX
National Provider Identifier
1255587606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1000164
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197191301 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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
- Uriel Garza, PT
- Victor Garza
- Zonia G Garza, LPC-S
- Gastroenterology Center of Laredo, PA
- Gastroenterology Consultants of Laredo, PA
- Gateway Community Health Center
- Gateway Community Health Center
- Gateway Community Health Center Central
- Gateway Community Health Center Inc
- Gateway Community Health Center Inc
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.