Healthcare Provider Details

I. General information

NPI: 1891619342
Provider Name (Legal Business Name): IFT AMBULANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 SEAN ST
SOCORRO NM
87801-4927
US

IV. Provider business mailing address

1006 SEAN ST
SOCORRO NM
87801-4927
US

V. Phone/Fax

Practice location:
  • Phone: 575-305-0104
  • Fax:
Mailing address:
  • Phone: 575-305-0104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: GABRIEL SOSA
Title or Position: OWNER/OPERATOR
Credential:
Phone: 575-305-0104