Pro-Balance Technologies LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

PRO-BALANCE TECHNOLOGIES LLC

Practice address

4100 Rio Bravo St Ste 210
El Paso, TX 79902-1048

Phone

(915) 544-8422

NPI assigned

May 17, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Roberto Wallace

Title

GM

Phone

(915) 544-8422

Specialties & licenses 1

Addresses

Other names 1

• Viba Transportation Doing business as

Locations

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1689248395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 RIO BRAVO ST STE 210",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021048",
            "telephone_number": "915-544-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 RIO BRAVO ST STE 210",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021048",
            "telephone_number": "915-544-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-BALANCE TECHNOLOGIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "GM",
        "authorized_official_telephone_number": "915-544-8422",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Viba Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in El Paso, TX
• Providers in El Paso, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.