Centro San Vicente

LBN: Centro San Vicente
Centro San Vicente is an health care organization with primary practice located at 8061 Alameda Ave , El Paso TX 79915-4705. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Centro San Vicente can be contacted via phone (915) 859-7545, or through Luna, Jose via phone (915) 225-0670.

Contact Information

Primary practice address
8061 Alameda Ave El Paso TX 79915-4705
Phone: (915) 859-7545
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Luna, Jose Doctor of Medicine (MD)
Phone: (915) 225-0670

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1831267079
LBN Legal business name Centro San Vicente
DBA Doing business as
Authorized official Luna, Jose Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated May 21st, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831267079 NPPES
Texas MEDICAID 130880104

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