Individual provider Active NPI

Lupita Moreno

  • Land Ambulance
  • Eagle Pass, TX
National Provider Identifier
1548567852
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1000556 Issued in TX
Practice address
1152 Ferry St
Ste G
Eagle Pass, TX 78852-5984
Phone
(830) 776-5202
NPI assigned
Feb 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1000556 TX
Land Ambulance 3416L0300X 1000556 TX Primary

Addresses

Primary practice location

1152 Ferry St
Ste G
Eagle Pass, TX 78852-5984

Mailing address

PO Box 5794
Eagle Pass, TX 78853-5794
Phone (830) 776-5202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1000556TXMDLand Ambulance

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Grande Ambulance LLC Ambulance Current Accepting new patients
Lupita Moreno Ambulance CurrentSince Jun 25, 2010 Accepting new patients

Locations

2824 N Veterans Blvd
#B
Eagle Pass, TX 78852
Phone (830) 776-5202

1152 Ferry St
Ste G
Eagle Pass, TX 78852
Phone (830) 776-5202

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1548567852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5794",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788535794",
            "telephone_number": "830-776-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 FERRY ST",
            "address_2": "STE G",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525984",
            "telephone_number": "830-776-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "LUPITA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "1000556",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.