Organization Active NPI

Camino Real Ambulance Inc.

  • Land Ambulance
  • Carrizo Springs, TX
National Provider Identifier
1962664524
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1000144 Issued in TX
Legal business name
CAMINO REAL AMBULANCE INC.
Practice address
403 E Nopal St Ste a
Carrizo Springs, TX 78834-3333
Phone
(830) 876-0066
Fax
(830) 876-0072
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Esequiel Hernandez Avila
Title
President
Phone
(830) 876-0066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1000144 TX Primary

Addresses

Primary practice location

403 E Nopal St Ste a
Carrizo Springs, TX 78834-3333

Mailing address

PO Box 1653
Carrizo Springs, TX 78834-7653
Phone (830) 876-0066

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080815000079 TX Part B Supplier - Ambulance Service Supplier 8325113079 Practice locations: Eagle Pass, TX

National Provider Directory

National Provider Directory

Locations

403 E Nopal St
#A
Carrizo Springs, TX 78834

403 E Nopal St
Ste A
Carrizo Springs, TX 78834
Phone (830) 876-0066

2178 Del Rio Blvd
Eagle Pass, TX 78852
Phone (830) 335-2052

3333 N Foster Maldonado Blvd
#B
Eagle Pass, TX 78852

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1962664524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1653",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788347653",
            "telephone_number": "830-876-0066",
            "fax_number": "830-876-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E NOPAL ST STE A",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788343333",
            "telephone_number": "830-876-0066",
            "fax_number": "830-876-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMINO REAL AMBULANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ AVILA",
        "authorized_official_first_name": "ESEQUIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-876-0066"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrizo Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.