Individual provider Active NPI

Arturo Ollervides

  • Non-emergency Medical Transport (VAN)
  • Laredo, TX
National Provider Identifier
1750635082
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
08418502 Issued in TX
Practice address
1417 E San Carlos St
Laredo, TX 78041-5345
Phone
(956) 796-1009
Fax
(956) 796-1010
NPI assigned
Nov 8, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 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 08418502 TX
Non-emergency Medical Transport (VAN) 343900000X 08418502 TX Primary

Addresses

Primary practice location

1417 E San Carlos St
Laredo, TX 78041-5345

Mailing address

1417 E San Carlos St
Laredo, TX 78041-5345
Phone (956) 796-1009

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
08418502TXMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1750635082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 E SAN CARLOS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415345",
            "telephone_number": "956-796-1009",
            "fax_number": "956-796-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 E SAN CARLOS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415345",
            "telephone_number": "956-796-1009",
            "fax_number": "956-796-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLERVIDES",
        "first_name": "ARTURO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "08418502",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "08418502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

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