Organization Active NPI

Texas Superior Ambulance Service LLC

  • Land Ambulance
  • Laredo, TX
National Provider Identifier
1437614484
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TEXAS SUPERIOR AMBULANCE SERVICE LLC
Practice address
6262 McPherson Rd Ste 108
Laredo, TX 78041-6183
Phone
(956) 523-9131
Fax
(956) 568-3380
NPI assigned
Feb 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Authorized official

Name
Gilberto GuardiolaNPI 1134615743
Title
Owner/Administrator
Phone
(956) 523-9131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

6262 McPherson Rd Ste 108
Laredo, TX 78041-6183

Mailing address

4310 Caroline St
Laredo, TX 78046-4057
Phone (956) 523-9131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190405001109 TX Part B Supplier - Ambulance Service Supplier 7810238599 Practice locations: Laredo, TX

National Provider Directory

National Provider Directory

Locations

802 Galveston St
Ste A
Laredo, TX 78040
Phone (956) 568-3380

6262 McPherson Rd
Ste 108
Laredo, TX 78041
Phone (956) 523-9131

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1437614484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 CAROLINE ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780464057",
            "telephone_number": "956-523-9131",
            "fax_number": "956-568-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6262 MCPHERSON RD STE 108",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416183",
            "telephone_number": "956-523-9131",
            "fax_number": "956-568-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS SUPERIOR AMBULANCE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "GUARDIOLA",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "956-523-9131"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "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 Feb 4, 2019; 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.