Active NPI
Lupita Moreno
- Land Ambulance
- Eagle Pass, TX
National Provider Identifier
1548567852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1000556
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1000556 | TX | MD | Land Ambulance |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rio Grande Ambulance LLC | Ambulance | Current | Accepting new patients |
| Lupita Moreno | Ambulance | Current | 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.
-
- Land Ambulance
- Eagle Pass, TX
- NPI 1346951555
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.