Active NPI
Liberty EMS, LLC
- Ambulance
- Edinburg, TX
National Provider Identifier
1629016290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 108063
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00298475 | Other | TX | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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.