Provider Demographics
NPI:1356120109
Name:GATEWAY EMS AMBULANCE SERVICE L.L.C.
Entity type:Organization
Organization Name:GATEWAY EMS AMBULANCE SERVICE L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:INGUANZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-220-4432
Mailing Address - Street 1:1308 CLARK BLVD. STE. 1
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78040
Mailing Address - Country:US
Mailing Address - Phone:956-568-3318
Mailing Address - Fax:956-568-3318
Practice Address - Street 1:1308 CLARK BLVD STE 1
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78040-3425
Practice Address - Country:US
Practice Address - Phone:956-568-3318
Practice Address - Fax:956-568-3318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-21
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport