Provider Demographics
NPI:1649359563
Name:RIO VALLEY EMERGENCY MEDICAL SERVICE
Entity type:Organization
Organization Name:RIO VALLEY EMERGENCY MEDICAL SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HORTENCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-968-7964
Mailing Address - Street 1:2801 E PIKE BLVD
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-9006
Mailing Address - Country:US
Mailing Address - Phone:956-968-7964
Mailing Address - Fax:956-973-2380
Practice Address - Street 1:5130 NORTH MILE 3 1/2 WEST
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78599-9006
Practice Address - Country:US
Practice Address - Phone:956-968-7964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108053341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1651911-01Medicaid
TX1651911-01Medicaid