Organization Active NPI

Tribeca Medical Transportation

  • Secured Medical Transport (VAN)
  • Dallas, TX
National Provider Identifier
1457088429
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
TRIBECA MEDICAL TRANSPORTATION
Practice address
413 N Winnetka Ave
Dallas, TX 75208-5138
Phone
(737) 402-9630
NPI assigned
Aug 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Lucerito Tavera
Title
Director
Phone
(737) 402-9630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X Primary

Addresses

Primary practice location

413 N Winnetka Ave
Dallas, TX 75208-5138

Mailing address

413 N Winnetka Ave
Dallas, TX 75208-5138
Phone (737) 402-9630

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1457088429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 N WINNETKA AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752085138",
            "telephone_number": "737-402-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 N WINNETKA AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752085138",
            "telephone_number": "737-402-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBECA MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "TAVERA",
        "authorized_official_first_name": "LUCERITO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "737-402-9630"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.