Los Fresnos Ambulance Service, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

031014 Issued in TX

Legal business name

LOS FRESNOS AMBULANCE SERVICE, INC

Practice address

200 N Brazil St
Los Fresnos, TX 78566-3640

Phone

(956) 233-5007

Fax

(956) 233-8608

NPI assigned

Nov 16, 2006

Last updated

Aug 18, 2008By 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

Mr. Gene Daniels, EMT-P

Title

Director

Phone

(956) 233-5007

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1346313327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785660776",
            "telephone_number": "956-233-5007",
            "fax_number": "956-233-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N BRAZIL ST",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785663640",
            "telephone_number": "956-233-5007",
            "fax_number": "956-233-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS FRESNOS AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "956-233-5007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "031014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193133901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan Manuel Leyva Jr., FNP-BC
• Little Lighthouse Children's Rehab., LLC
• Little Lighthouse Childrens Rehab
• Ivania Vianey Longoria Dorado
• Shaidy Lopez, OTR
• Los Fresnos Cisd
• Los Fresnos Eye Clinic & Optical Inc.
• Los Fresnos Family Dentistry
• Los Fresnos Image Center LLC
• Los Fresnos Physical Therapy and Rehab

• Land Ambulance in Los Fresnos, TX
• Providers in Los Fresnos, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.