Provider Demographics
NPI:1013220797
Name:CARROUSEL HEALTHCARE SYSTEMS, INC.
Entity Type:Organization
Organization Name:CARROUSEL HEALTHCARE SYSTEMS, INC.
Other - Org Name:CARROUSEL MEDICAL TRANSPORT SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:ANGEL
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-687-3220
Mailing Address - Street 1:2038 ORCHID AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-4152
Mailing Address - Country:US
Mailing Address - Phone:956-687-3220
Mailing Address - Fax:956-661-1115
Practice Address - Street 1:2038 ORCHID AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4152
Practice Address - Country:US
Practice Address - Phone:956-687-3220
Practice Address - Fax:956-661-1115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-22
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB 1084Medicare PIN