Organization Active NPI

Urologex LLC

  • Nurse Practitioner
  • Del Rio, TX
National Provider Identifier
1013749670
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
UROLOGEX LLC
Practice address
114 W Losoya St
Del Rio, TX 78840-5858
Phone
(830) 488-6020
Fax
(830) 488-6030
NPI assigned
Aug 14, 2024
Last updated
May 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vanessa Lynn Ortiz-AvalosNPI 1518196351
Title
Nurse Practitioner
Phone
(830) 265-8342

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

114 W Losoya St
Del Rio, TX 78840-5858

Mailing address

196 Diego Loop Rd
Del Rio, TX 78840-2463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250205003772 TX Part B Supplier - Clinic/Group Practice 4082144084 Receives reassigned benefits from 1 practitioner
Practice locations: Del Rio, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2319246Urologex114 W Losoya St, Del Rio, TX 78840Certificate of waiverFeb 24, 2027

National Provider Directory

National Provider Directory

Locations

114 W Losoya St
Del Rio, TX 78840
Phone (830) 488-6020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1013749670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 DIEGO LOOP RD",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788402463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W LOSOYA ST",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788405858",
            "telephone_number": "830-488-6020",
            "fax_number": "830-488-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGEX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "ORTIZ-AVALOS",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "830-265-8342"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.