Provider Demographics
NPI:1457797912
Name:PRESTIGE EMS, LLC
Entity Type:Organization
Organization Name:PRESTIGE EMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-489-3440
Mailing Address - Street 1:PO BOX 2547
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78044-2547
Mailing Address - Country:US
Mailing Address - Phone:956-489-3440
Mailing Address - Fax:956-727-0612
Practice Address - Street 1:5460 SPRINGFIELD AVE # 7
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-3878
Practice Address - Country:US
Practice Address - Phone:956-489-3440
Practice Address - Fax:956-727-0612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-10
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance