Centro San Vicente

LBN: Centro San Vicente
Centro San Vicente is an health care organization with primary practice located at 1208 Myrtle Ave , El Paso TX 79901-1602. 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) 351-8972, or through Luna, Jose via phone (915) 225-0670.

Contact Information

Primary practice address
1208 Myrtle Ave El Paso TX 79901-1602
Phone: (915) 351-8972
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 1841480902
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 Jul 25th, 2007
Last updated Apr 30th, 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 1841480902 NPPES
Texas MEDICAID 130880107

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