Provider Demographics
NPI:1164707444
Name:AMBU-MED LLC
Entity Type:Organization
Organization Name:AMBU-MED LLC
Other - Org Name:AMBU-MED LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SERGIO
Authorized Official - Middle Name:ROMAN
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-380-0330
Mailing Address - Street 1:108 N JACKSON RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78541-3692
Mailing Address - Country:US
Mailing Address - Phone:956-380-0330
Mailing Address - Fax:956-380-3902
Practice Address - Street 1:108 N JACKSON RD
Practice Address - Street 2:SUITE 5
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78541-3692
Practice Address - Country:US
Practice Address - Phone:956-380-0330
Practice Address - Fax:956-380-3902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-18
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport