Individual provider Active NPI

Jose Antonio Alvarado, DNP, FNP-C

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1164877007
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1130217 Issued in TX
Practice address
1520 E San Pedro St Ste 102
Laredo, TX 78041-5479
Phone
(956) 285-4327
Fax
(956) 450-7251
NPI assigned
Apr 28, 2016
Last updated
Aug 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1130217 TX Primary

Addresses

Primary practice location

1520 E San Pedro St Ste 102
Laredo, TX 78041-5479

Mailing address

203 Sabal Loop
Laredo, TX 78045-5015
Phone (956) 285-4327

Other practice location 1

1102 Santa Maria Ave
Laredo, TX 78040-4475
Phone (956) 285-4327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220004015 TX Practitioner - Nurse Practitioner 8426287285 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1130217TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vara Hospice, LLC Current Accepting new patients
Texas Ultrasound Imaging LLC CurrentSince May 24, 2022 Accepting new patients

Locations

1520 E San Pedro St
Ste 102
Laredo, TX 78041
Phone (833) 663-8271

1806 Commerce Dr
Ste 202
Laredo, TX 78041
Phone (946) 285-4327

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vara HospiceLaredo, TX, CCN 971598 Hospice 5% Or Greater Direct Ownership Interest (100%)
Corporate Director (100%)
W-2 Managing Employee (100%)
May 25, 2018
May 25, 2018
May 25, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1164877007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 SABAL LOOP",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780455015",
            "telephone_number": "956-285-4327",
            "fax_number": "956-602-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 E SAN PEDRO ST STE 102",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415479",
            "telephone_number": "956-285-4327",
            "fax_number": "956-450-7251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 Santa Maria Ave",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780404475",
            "country_code": "US",
            "telephone_number": "956-285-4327",
            "fax_number": "956-450-7251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-28",
        "last_updated": "2023-08-18",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1130217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.