| Centro San Vicente | |
|
8061 Alameda Ave El Paso TX 79915-4705 | |
| (915) 859-7545 | |
| Not Available |
| Full Name | Centro San Vicente |
|---|---|
| Speciality | Clinic/Center |
| Location | 8061 Alameda Ave, El Paso, Texas |
| Authorized Official Name and Position | Jose Luna (CEO) |
| Authorized Official Contact | 9152250670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro San Vicente 8061 Alameda Ave El Paso TX 79915-4705 Ph: (915) 859-7545 | Centro San Vicente 8061 Alameda Ave El Paso TX 79915-4705 Ph: (915) 859-7545 |
| NPI Number | 1831267079 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 05/21/2014 |
| Medicare PECOS PAC ID | 1355330994 |
|---|---|
| Medicare Enrollment ID | O20040510000695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831267079 | NPI | - | NPPES |
| 130880104 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Patricia Z Law |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043211527 PECOS PAC ID: 6800871773 Enrollment ID: I20040623001174 |
| Provider Name | Jose Luna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700877255 PECOS PAC ID: 5890775654 Enrollment ID: I20040722000344 |
| Provider Name | Robert Vera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962505479 PECOS PAC ID: 0547321192 Enrollment ID: I20081202000208 |
| Provider Name | Claudia Chaparro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578790291 PECOS PAC ID: 2668511197 Enrollment ID: I20091123000366 |
| Provider Name | Sylvia A Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174714364 PECOS PAC ID: 7012040843 Enrollment ID: I20100730000732 |
| Provider Name | Maria Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255628202 PECOS PAC ID: 7113181512 Enrollment ID: I20120615000082 |
| Provider Name | Celina R Beltran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265692750 PECOS PAC ID: 7719125871 Enrollment ID: I20130530000674 |
| Provider Name | Christina Ilene Paz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942536198 PECOS PAC ID: 7416196530 Enrollment ID: I20130621000461 |
| Provider Name | Cara Racheal Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477899128 PECOS PAC ID: 6800011958 Enrollment ID: I20140702002133 |
| Provider Name | Doris Ann Clippard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669428116 PECOS PAC ID: 2961506233 Enrollment ID: I20141001000354 |
| Provider Name | Elizabeth Rubio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952537169 PECOS PAC ID: 3173745866 Enrollment ID: I20141113000671 |
| Provider Name | Linda Lujan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336693183 PECOS PAC ID: 1951682392 Enrollment ID: I20161227000693 |
| Provider Name | Marie E Portillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700279072 PECOS PAC ID: 6103107214 Enrollment ID: I20170104001166 |
| Provider Name | Emily Rosales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326427915 PECOS PAC ID: 5294017513 Enrollment ID: I20170123000780 |
| Provider Name | Hazel Frescas Frescas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558783332 PECOS PAC ID: 6608172986 Enrollment ID: I20170808000579 |
| Provider Name | Brenda Quinonez-sarinana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689108144 PECOS PAC ID: 4183997745 Enrollment ID: I20170901000298 |
| Provider Name | Maribel Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710499702 PECOS PAC ID: 3577820505 Enrollment ID: I20171130000226 |
| Provider Name | Humberto Balderrama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215441886 PECOS PAC ID: 1456611961 Enrollment ID: I20180201000459 |
| Provider Name | Kari M Ahnfeldt |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1861604779 PECOS PAC ID: 4789946401 Enrollment ID: I20180316001712 |
| Provider Name | Leeann Shentel Braid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275007494 PECOS PAC ID: 9537407747 Enrollment ID: I20190214000047 |
Antonio M Ortega Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 N El Paso St Ste D, El Paso, TX 79902 Phone: 915-544-9969 | |
Project Vida Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7722 N Loop Dr Ste 5a, El Paso, TX 79915 Phone: 915-533-7057 Fax: 915-503-1014 | |
Dc Medical Konsult Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11620 Pellicano Dr Ste A, El Paso, TX 79936 Phone: 915-701-2495 Fax: 915-600-7897 | |
Upper Valley Wellness Clinic, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 E Redd Rd, El Paso, TX 79932 Phone: 915-584-8882 | |
Mobilemed, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1201 E Schuster Ave Ste 1a, El Paso, TX 79902 Phone: 915-307-4669 | |
Salus Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 154 N Festival Dr # Villag, El Paso, TX 79912 Phone: 915-209-0311 Fax: 915-845-4019 | |
Border Medical Specialists, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 George Dieter Dr, Ste. 170, El Paso, TX 79936 Phone: 915-921-7855 Fax: 915-921-7866 |