| Organization Name: | SOUTHERNCROSS AMBULANCE, INC. |
| NPI Number: | 1023177961 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CALIXTO JUVAL RIVERA (ADMINISTRATOR) |
| Mailing Address: | 1718 State Highway 46 South New Braunfels |
| State: | TX US |
| Postal Code: | 78131 |
| Phone Number: | 8306292920 |
| Fax Number: | |
| NPI Enumeration Date: | 12/06/2006 |
| NPI Last Update Date: | 10/01/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146L00000X |
| License Number: | 046006 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Paramedic |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |