Organization Active NPI

Victorious Care Ambulance Service LLC

  • Land Ambulance
  • Laredo, TX
National Provider Identifier
1952669749
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1000813 Issued in TX
Legal business name
VICTORIOUS CARE AMBULANCE SERVICE LLC
Practice address
1706 San Bernardo Ave
Laredo, TX 78040-3752
Phone
(956) 568-1178
Fax
(956) 568-1185
NPI assigned
Apr 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Mr. Victor Enrique Villarreal
Title
Owner
Phone
(956) 568-1178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1000813 TX Primary

Addresses

Primary practice location

1706 San Bernardo Ave
Laredo, TX 78040-3752

Mailing address

1706 San Bernardo Ave
Laredo, TX 78040-3752
Phone (956) 568-1178

Other identifiers 1

IdentifierTypeStateIssuer
313002301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120614000057 TX Part B Supplier - Ambulance Service Supplier 9436313962 Practice locations: Laredo, TX

National Provider Directory

National Provider Directory

Locations

4100 San Bernardo Ave
Ste E6A
Laredo, TX 78041
Phone (956) 568-1178

1706 San Bernardo Ave
Laredo, TX 78040
Phone (956) 568-1178

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1952669749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 SAN BERNARDO AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780403752",
            "telephone_number": "956-568-1178",
            "fax_number": "956-568-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 SAN BERNARDO AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780403752",
            "telephone_number": "956-568-1178",
            "fax_number": "956-568-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIOUS CARE AMBULANCE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-568-1178",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313002301",
            "state": "TX"
        }
    ],
    "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 Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.