Provider Demographics
NPI:1184347304
Name:FRONTLINE MEDICAL TRANSPORTS LLC
Entity type:Organization
Organization Name:FRONTLINE MEDICAL TRANSPORTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AOR/PARAMEDIC
Authorized Official - Prefix:
Authorized Official - First Name:REGINALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-719-3613
Mailing Address - Street 1:509 EAST 17TH STREET
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:509 EAST 17TH STREET
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840
Practice Address - Country:US
Practice Address - Phone:830-719-3613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport