Jorge Luis Pena Jr

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

JORGE LUIS PENA JR

Doing business as

Guardian EMS

Practice address

703 W Ciro Casares
Elsa, TX 78543

Phone

(956) 262-7434

Fax

(956) 262-6946

NPI assigned

May 16, 2006

Last updated

Jan 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jorge Luis Pena Jr.

Title

Owner

Phone

(956) 262-7434

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GUARDIAN EMS Doing business as

Locations

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1952353278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2911",
            "city": "ELSA",
            "state": "TX",
            "postal_code": "785432911",
            "telephone_number": "956-262-7434",
            "fax_number": "956-262-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 W CIRO CASARES",
            "city": "ELSA",
            "state": "TX",
            "postal_code": "78543",
            "telephone_number": "956-262-7434",
            "fax_number": "956-262-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE LUIS PENA JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-262-7434",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178479501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GUARDIAN EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Iris Well Child Physicals
• Jose F. Pena, MD & Associates PA (Elsa Medical Clinic)
• Reynaldo Antonio Jose, FNP
• Julio a Lopez & Associates (Elsa Medical Clinic)
• Jumpstart Plus LLC
• Kids Club Therapy Center LLC

• Land Ambulance in Elsa, TX
• Providers in Elsa, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.