One Med Clinic LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ONE MED CLINIC LLC

Practice address

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

Phone

(956) 285-4327

NPI assigned

Sep 11, 2023

Last updated

Sep 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jose Alvarado, DNP, APRN, FNP-CNPI 1164877007

Title

Owner

Phone

(956) 285-4327

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Jose Antonio Alvarado, DNP, FNP-C

  • Family Nurse Practitioner
  • Laredo, TX
  • NPI 1164877007
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1184401697",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE MED CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-285-4327",
        "authorized_official_credential": "DNP, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ollervides
• Jaziel Joel Olmedo
• Jill Olsen, OTR
• Oncology & Hematology of South Texas PA (Oncology & Hematology of South Texas Pharmacy)
• Oncology & Hematology of South Texas PA
• Onsite X-Rays LLC
• Optic Ra
• Optimal Care S Laredo LLC
• Optumcare Hospice LLC
• Carlos Orces, MD

• Health Service Clinic/Center in Laredo, TX
• Providers in Laredo, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.