| Organization Name: | DEL RIO AMBULANCE LLC |
| NPI Number: | 1205125713 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALFONSO W ZERTUCHE (OWNER/MANAGING MEMBER) |
| Mailing Address: | 126 W. Ogden St. Del Rio |
| State: | TX US |
| Postal Code: | 78840 |
| Phone Number: | 8307192495 |
| Fax Number: | 8307345099 |
| NPI Enumeration Date: | 04/05/2011 |
| NPI Last Update Date: | 04/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 1000591 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |