=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043610249
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CITY OF DEL RIO
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/26/2014
-----------------------------------------------------
Last Update Date | 10/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 101 W OGDEN ST
-----------------------------------------------------
City | DEL RIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78840-5578
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 830-703-5324
-----------------------------------------------------
Fax | 830-774-8697
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 109 W BROADWAY ST
-----------------------------------------------------
City | DEL RIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78840-5502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 830-703-5324
-----------------------------------------------------
Fax | 830-774-8697
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | TRANSPORTATION SUPERINTENDENT
-----------------------------------------------------
Name | ROSA CRUZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 830-488-1360
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343800000X
-----------------------------------------------------
Taxonomy Name | Secured Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------