NPIMap

Organization Active NPI

Life Tech Ambulance Transport Services

  • Ambulance
  • Del Rio, TX
National Provider Identifier
1457694077
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
25784431 Issued in TX
Legal business name
LIFE TECH AMBULANCE TRANSPORT SERVICES
Practice address
401 E 17TH St
Del Rio, TX 78840-3306
Phone
(830) 422-9574
Fax
(830) 488-6258
NPI assigned
Apr 2, 2013
Last updated
Apr 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Authorized official

Name
Mr. Gerardo A Martinez, EMT B
Title
Owner Operator
Phone
(830) 422-9574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 25784431 TX Primary

Addresses

Primary practice location

401 E 17TH St
Del Rio, TX 78840-3306

Mailing address

401 E 17TH St
Del Rio, TX 78840-3306
Phone (830) 422-9574

National Provider Directory

National Provider Directory

Locations

401 E 17th St
Del Rio, TX 78840
Phone (830) 422-9574

NPI Registry JSON

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364860800000",
    "number": "1457694077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 17TH ST",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788403306",
            "telephone_number": "830-422-9574",
            "fax_number": "830-488-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 17TH ST",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788403306",
            "telephone_number": "830-422-9574",
            "fax_number": "830-488-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TECH AMBULANCE TRANSPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-04-02",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "830-422-9574",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT B"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "25784431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.