Neyda Bonilla

Primary specialty

AmbulanceTaxonomy code 341600000X

License

108060 Issued in TX

Legal business name

NEYDA BONILLA

Doing business as

Lifeline EMS

Practice address

2635 W Business Highway 83
McAllen, TX 78501-7617

Phone

(956) 683-8181

Fax

(956) 683-8181

NPI assigned

Nov 1, 2006

Last updated

Jun 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Neyda Bonilla

Title

Owner/GM

Phone

(956) 683-8181

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• LIFELINE EMS Doing business as

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1528145190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785050880",
            "telephone_number": "956-683-8181",
            "fax_number": "956-683-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 W BUSINESS HIGHWAY 83",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785017617",
            "telephone_number": "956-683-8181",
            "fax_number": "956-683-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEYDA BONILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "NEYDA",
        "authorized_official_title_or_position": "OWNER/GM",
        "authorized_official_telephone_number": "956-683-8181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "108060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AMB819",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164410601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFELINE EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in McAllen, TX
• Providers in McAllen, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.