MEDICARE: AMBU-MED LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1164707444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMBU-MED LLC

Provider Business Mailing Address
First Line	:	302 E US HIGHWAY 83 STE 6&7
Second Line	:
City	:	SAN JUAN
State	:	TX
Zip	:	78589-2900
Country	:	US
Telephone Number	:	956-380-0330
Fax Number	:	956-380-3902

Provider Business Practice Location Address
First Line	:	302 E US HIGHWAY 83 STE 6&7
Second Line	:
City	:	SAN JUAN
State	:	TX
Zip	:	78589-2900
Country	:	US
Telephone Number	:	956-380-0330
Fax Number	:	956-380-3902

Authorized Official
Title or Position	:	OWNER
Name	:	AMADOR AYALA JR.
Credential	:
Telephone Number	:	956-380-0330

Provider Enumeration Date	:	10/18/2011
Last Update Date	:	12/09/2025

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Directions to “AMBU-MED LLC ” Practice Location

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