Healthcare Provider Details

I. General information

NPI: 1376332593
Provider Name (Legal Business Name): ROADRUNNER RESPONSE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2430 W PIERCE ST
CARLSBAD NM
88220-3597
US

IV. Provider business mailing address

803 WALKER FARM RD
CARLSBAD NM
88220-5394
US

V. Phone/Fax

Practice location:
  • Phone: 575-887-4100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: ESTEBAN CASTILLO
Title or Position: CEO
Credential:
Phone: 816-699-6658