Active NPI
Alianza Ambulance
- Ambulance
- Eagle Pass, TX
National Provider Identifier
1831579168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1000963
- Legal business name
- ALIANZA AMBULANCE
- Practice address
- 1150 Del Rio Bulvd
Eagle Pass, TX 78852 - Phone
- (830) 776-5330
- NPI assigned
- Jun 2, 2015
- Last updated
- Feb 28, 2017
- 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
- Bertha Uselda Gonzalez
- Title
- Owner
- Phone
- (830) 421-6615
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1000963 | TX | Primary |
Addresses
Primary practice location
1150 Del Rio Bulvd
Eagle Pass, TX 78852
Mailing address
1150 Del Rio Blvd Ste D
Eagle Pass, TX 78852-3620
Phone (830) 776-5330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180219001673 | TX | Part B Supplier - Ambulance Service Supplier | 6709169618 | Practice locations: Eagle Pass, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2312153 | Alianza Ambulance Inc | Certificate of waiver | Oct 3, 2026 |
National Provider Directory
National Provider DirectoryLocations
1150 Del Rio Blvd
Eagle Pass, TX 78852
Phone (830) 776-5330
1150 Del Rio Blvd
Ste D
Eagle Pass, TX 78852
Phone (830) 213-4649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488240000000",
"number": "1831579168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 DEL RIO BLVD STE D",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788523620",
"telephone_number": "830-776-5330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 DEL RIO BULVD",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "78852",
"telephone_number": "830-776-5330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALIANZA AMBULANCE",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-02",
"last_updated": "2017-02-28",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "BERTHA",
"authorized_official_middle_name": "USELDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "830-421-6615"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "TX",
"license": "1000963",
"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 Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.