MEDICARE: CITY OF PORT ISABEL

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	031004	TX

General Provider Information

NPI Number	:	1902827108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF PORT ISABEL

Provider Business Mailing Address
First Line	:	110 W HICKMAN AVE
Second Line	:
City	:	PORT ISABEL
State	:	TX
Zip	:	78578-2906
Country	:	US
Telephone Number	:	956-943-2682
Fax Number	:	956-943-2029

Provider Business Practice Location Address
First Line	:	110 W HICKMAN AVE
Second Line	:
City	:	PORT ISABEL
State	:	TX
Zip	:	78578-2906
Country	:	US
Telephone Number	:	956-943-2682
Fax Number	:	956-943-2029

Authorized Official
Title or Position	:	FINANCE DIRECTOR
Name	:	PETE CAPISTRAN
Credential	:
Telephone Number	:	956-943-2682

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	03/06/2008

Similar Medicare Providers

1619979580 — PORT ORANGE ENDOSCOPY & SURGERY CENTER LLC
Practice Location Address:

1185 DUNLAWTON AVE STE 100
PORT ORANGE, FL
32127-2906

Practice Phone: 386-777-7151
Practice Fax: 386-231-6545

1427637677 — DENISE HARDY PA-C
Practice Location Address:

1185 DUNLAWTON AVE STE 102
PORT ORANGE, FL
32127-2906

Practice Phone: 386-760-6601
Practice Fax: 386-222-0769

1750383733 — JOHN T TOLLAND MD
Practice Location Address:

1185 DUNLAWTON AVE STE 100
PORT ORANGE, FL
32127-2906

Practice Phone: 386-672-0017
Practice Fax: 386-676-0506

1447252432 — ANDREW H RITTER M.D.
Practice Location Address:

1185 DUNLAWTON AVE STE 100
PORT ORANGE, FL
32127-2906

Practice Phone: 386-672-0017
Practice Fax: 386-676-0506

1316006083 — DR. MATTHEW RYAN WILSON M.D.
Practice Location Address:

1185 DUNLAWTON AVE STE 100
PORT ORANGE, FL
32127-2906

Practice Phone: 386-756-7066
Practice Fax: 386-671-2820

1700268042 — SHERRY HOUSLEY APN
Practice Location Address:

1185 DUNLAWTON AVE STE 102
PORT ORANGE, FL
32127-2906

Practice Phone: 386-760-6601
Practice Fax: 386-222-0769

Directions to “CITY OF PORT ISABEL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.