CENTRO SAN VICENTE (NPI# 1942670328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942670328 |
| Entity Type | Organization |
| Organization Name | CENTRO SAN VICENTE |
| Other Organization Name | CENTRO SAN VICENTE'S WELLNESS CENTER AT EMERGENCE HEALTHCARE NETWORK |
| Practice Address |
1600 Montana Ave El Paso TX 79902-5622 |
| Practice Telephone | 9158597545 |
| Mailing Telephone | 9158597545 |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-11-21 |
| Authorized Official Name | DR. JOSE LUNA JR. (CEO) |
| Authorized Official Telephone | 9152250670 |
| Authorized Official Credential | M.D. |
| 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 |
| Other Name | Type Code |
|---|---|
| Centro San Vicente's Wellness Center at Emergence Healthcare Network | Doing Business As Name - Organization |
| 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 |
| 1841480902 | Centro San Vicente | Clinic/Center | 1208 Myrtle Ave, El Paso, TX 79901-1602 | 2007-07-25 |
| 1831267079 | Centro San Vicente | Clinic/Center | 8061 Alameda Ave, El Paso, TX 79915-4705 | 2006-12-04 |
| Street Address |
1600 MONTANA AVE |
| City | EL PASO |
| State | TX |
| Zip Code | 79902-5622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124159447 | El Paso Community Mhmr | Case Management | 1600 Montana Ave, El Paso, TX 79902-5622 | 2007-03-08 |
| 1669089710 | Alejandra Duarte Larriva | Counselor | 1600 Montana Ave, El Paso, TX 79902-5622 | 2020-09-23 |
| 1699387928 | Vianney Solis Lopez | Counselor | 1600 Montana Ave, El Paso, TX 79902-5622 | 2020-08-18 |
| 1457973612 | Javier Martinez | Registered Nurse | 1600 Montana Ave, El Paso, TX 79902-5622 | 2020-05-11 |
| 1417418088 | Rene Lujan | Counselor | 1600 Montana Ave, El Paso, TX 79902-5622 | 2019-03-27 |
| 1760949879 | Isabel Morales Chavarria | Counselor | 1600 Montana Ave, El Paso, TX 79902-5622 | 2019-02-25 |
| 1578042396 | Nicole Otero | Counselor | 1600 Montana Ave, El Paso, TX 79902-5622 | 2018-08-13 |
| 1962980458 | Stacey V Rodriguez | Counselor | 1600 Montana Ave, El Paso, TX 79902-5622 | 2018-08-06 |
| 1134606601 | Victoria Marie Estrada | Counselor | 1600 Montana Ave, El Paso, TX 79902-5622 | 2018-07-26 |
| 1932690500 | Jeanette Ivonne Espinoza | Counselor | 1600 Montana Ave, El Paso, TX 79902-5622 | 2018-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457827222 | Planned Parenthood of Greater Texas - El Paso Family Planning | Clinic/Center | 1511 E. Missouri Ave, Ste B, El Paso, TX 79902 | 2018-10-19 |
| 1700364072 | Patricia Rosales | Counselor | 611 Newman Street, El Paso, TX 79902 | 2018-07-30 |
| 1275020117 | Maximo Arroyo | Acupuncturist | 1627 Montana Ave, El Paso, TX 79902 | 2018-04-17 |
| 1699288464 | Eva Gonzalez-lewis | Social Worker | 1225 E. Cliff Dr Bldg 3 Ste#100, El Paso, TX 79902 | 2017-11-14 |
| 1710496625 | Ivan Ramon Manuel Chavez | Spec/Tech, Health Info | 2924 Piedmont Dr, El Paso, TX 79902 | 2017-09-22 |
| 1609306992 | Vidanta Personal Assistance Services Inc | Nursing Care | 1801 E Yandell Dr, El Paso, TX 79902 | 2017-06-19 |
| 1083154967 | Lamp Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 1300 Murchison Dr. #200, El Paso, TX 79902 | 2017-02-27 |
| 1053769422 | Winston Lu | Pharmacist | 3001 N Mesa St, El Paso, TX 79902 | 2016-05-26 |
| 1841672904 | Norma Avitia | Counselor | 1225 E Cliff Dr Bldg 3, El Paso, TX 79902 | 2015-06-25 |
| 1962826370 | Josefina Avalos | Social Worker | 1101 E. Schuster, El Paso, TX 79902 | 2014-02-06 |
| Find all providers in zip 79902 | ||||
| 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.