Healthcare Provider Details

I. General information

NPI: 1356120109
Provider Name (Legal Business Name): GATEWAY EMS AMBULANCE SERVICE L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2023
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8511 MCPHERSON RD STE 215
LAREDO TX
78045-6498
US

IV. Provider business mailing address

PO BOX 450232
LAREDO TX
78045-0005
US

V. Phone/Fax

Practice location:
  • Phone: 956-568-3318
  • Fax: 956-441-0357
Mailing address:
  • Phone: 956-568-3318
  • Fax: 956-441-0357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. GABRIEL INGUANZO
Title or Position: OWNER
Credential:
Phone: 956-220-4432