Organization Active NPI

Liberty EMS, LLC

  • Ambulance
  • Edinburg, TX
National Provider Identifier
1629016290
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
108063 Issued in TX
Legal business name
LIBERTY EMS, LLC
Practice address
2512 W Freddy Gonzalez Dr
Edinburg, TX 78539-7339
Phone
(956) 381-8838
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jose Barrera, EMS
Title
Director
Phone
(956) 381-8838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 108063 TX Primary

Addresses

Primary practice location

2512 W Freddy Gonzalez Dr
Edinburg, TX 78539-7339

Mailing address

2512 W Freddy Gonzalez Dr
Edinburg, TX 78539-7339
Phone (956) 381-8838

Other identifiers 1

IdentifierTypeStateIssuer
P00298475OtherTXRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

2512 W Freddy Gonzalez Dr
Edinburg, TX 78539
Phone (956) 381-8838

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629016290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 W FREDDY GONZALEZ DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397339",
            "telephone_number": "956-381-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 W FREDDY GONZALEZ DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397339",
            "telephone_number": "956-381-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY EMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARRERA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "956-381-8838",
        "authorized_official_credential": "EMS"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "108063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00298475",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • 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.