Gemini Ambulance Service, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

015097 Issued in TX

Legal business name

GEMINI AMBULANCE SERVICE, INC.

Practice address

14220 Northbrook Dr
Suite 700
San Antonio, TX 78232-5076

Phone

(210) 488-9800

Fax

(210) 488-9802

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Fidel Baldazo III

Title

President

Phone

(210) 488-9801

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1497824569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14220 NORTHBROOK DR",
            "address_2": "SUITE 700",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325076",
            "telephone_number": "210-488-9800",
            "fax_number": "210-488-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14220 NORTHBROOK DR",
            "address_2": "SUITE 700",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325076",
            "telephone_number": "210-488-9800",
            "fax_number": "210-488-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMINI AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "BALDAZO",
        "authorized_official_first_name": "FIDEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-488-9801",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "015097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000760101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.