Active NPI
Victorious Care Ambulance Service LLC
- Land Ambulance
- Laredo, TX
National Provider Identifier
1952669749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1000813
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 313002301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120614000057 | TX | Part B Supplier - Ambulance Service Supplier | 9436313962 | Practice locations: Laredo, TX |
National Provider Directory
National Provider DirectoryLocations
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.