Emerald Ambulance Service LLC.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

015110 Issued in TX

Legal business name

EMERALD AMBULANCE SERVICE LLC.

Practice address

3817 Parkdale St
San Antonio, TX 78229-2390

Phone

(210) 694-4505

Fax

(210) 877-6004

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Sotelo, EMT PARAMEDIC

Title

President

Phone

(210) 694-4508

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497773246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690193",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782690193",
            "telephone_number": "210-694-4508",
            "fax_number": "210-877-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 PARKDALE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292390",
            "telephone_number": "210-694-4505",
            "fax_number": "210-877-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD AMBULANCE SERVICE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOTELO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-694-4508",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "015110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1651705",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in San Antonio, TX
• Providers in San Antonio, TX by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.