CENTRO SAN VICENTE (NPI# 1841480902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841480902 |
| Entity Type | Organization |
| Organization Name | CENTRO SAN VICENTE |
| Practice Address |
1208 Myrtle Ave El Paso TX 79901-1602 |
| Practice Telephone | 9153518972 |
| Mailing Telephone | 9153518972 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2014-04-30 |
| Authorized Official Name | DR. JOSE LUNA JR. (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9152250670 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 130880107 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215473707 | Centro San Vicente | Clinic/Center | 10780 Pebble Hills Blvd, Ste G1, El Paso, TX 79935-2034 | 2017-01-09 |
| 1780761452 | Centro San Vicente | Clinic/Center | 13017 Perico St, San Elizario, TX 79849-1517 | 2006-11-01 |
| 1942670328 | Centro San Vicente | Clinic/Center | 1600 Montana Ave, El Paso, TX 79902-5622 | 2015-09-29 |
| 1831267079 | Centro San Vicente | Clinic/Center | 8061 Alameda Ave, El Paso, TX 79915-4705 | 2006-12-04 |
| Street Address |
1208 MYRTLE AVE |
| City | EL PASO |
| State | TX |
| Zip Code | 79901-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639241813 | Alec Kissack | Counselor | 1208 Myrtle Ave, El Paso, TX 79901-1602 | 2006-11-14 |
| 1386850451 | Aliviane, Inc Path | Community/Behavioral Health | 1208 Myrtle Ave, El Paso, TX 79901-1602 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124689310 | Jacquelyn Celene Carrillo | Behavior Technician | Wells Fargo Plaza,221 N Kansas St, El Paso, TX 79901 | 2019-06-27 |
| 1750888996 | Aroma Angels Homehealth & Pas Care Agency LLC | Home Health | 221 N. Kansas Suite 700, El Paso, TX 79901 | 2018-04-12 |
| 1659886190 | Abarim Home Healthcare - Texas Inc. | Technician | 747 East San Antonio Ave #102, El Paso, TX 79901 | 2017-12-06 |
| 1043729817 | Southwest Medical Devices LLC | Durable Medical Equipment & Medical Supplies | 212 E Mills Ave Suite C, El Paso, TX 79901 | 2017-09-25 |
| 1790200046 | Erik Sanchez | Behavior Technician | 25 Palm St. Apt 136, El Paso, TX 79901 | 2017-08-08 |
| 1619406006 | Sunshine Pas | In Home Supportive Care | 221 N. Kansas St. Ste 750, El Paso, TX 79901 | 2017-06-08 |
| 1790029296 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 201 N Mesa St., El Paso, TX 79901 | 2012-11-21 |
| 1740496934 | Elite Medical Transport of Texas | Ambulance | 1000 Texas Ave, El Paso, TX 79901 | 2007-05-15 |
| 1548486871 | Acuna, Inc. | Clinic/Center | 1417 Delta Drive, El Paso, TX 79901 | 2007-04-17 |
| 1306909395 | City of El Paso Texas | Ambulance | 416 N. Stanton St., El Paso, TX 79901 | 2006-12-19 |
| Find all providers in zip 79901 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513031 | Project Vida Health Center | Clinic/Center | 11350 Loma Franklin Dr, El Paso, TX 79934-4146 | 2020-03-18 |
| 1578198370 | Project Vida Health Center | Clinic/Center | 4835 Blossom Ave, El Paso, TX 79924-3234 | 2020-03-12 |
| 1265066641 | Project Vida Health Center | Clinic/Center | 6701 S Desert Blvd, El Paso, TX 79932-8501 | 2020-02-25 |
| 1700358264 | Project Vida Health Center | Clinic/Center | 11700 School Ln, El Paso, TX 79936-4418 | 2018-12-21 |
| 1336611896 | Project Vida Health Center | Clinic/Center | 2200 Sun Country Dr, El Paso, TX 79938-4644 | 2018-12-21 |
| 1033681564 | Project Vida Health Center | Clinic/Center | 3216 Tim Foster Street, El Paso, TX 79938 | 2018-12-21 |
| 1902372402 | Project Vida Health Center | Clinic/Center | 12000 Montwood Dr, El Paso, TX 79936-4400 | 2018-10-23 |
| 1164925046 | Project Vida Health Center | Clinic/Center | 13600 Ryderwood, El Paso, TX 79928 | 2018-03-16 |
| 1376056275 | Project Vida Health Center | Clinic/Center | 1100 Colina De Paz, El Paso, TX 79928-6064 | 2017-11-14 |
| 1285147173 | Project Vida Health Center | Clinic/Center | 13000 Emerald Pass Ave, El Paso, TX 79928 | 2017-11-14 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.