NPIMap

Organization Active NPI

El Pavo Real Adult Day Care Inc.

Doing business as Other Name

  • Point of Service
  • Alamo, TX
National Provider Identifier
1225230352
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
EL PAVO REAL ADULT DAY CARE INC.
Doing business as
Other Name
Practice address
963 W US Highway 83
Alamo, TX 78516-2529
Phone
(956) 783-8560
Fax
(956) 702-1608
NPI assigned
Jun 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gilberto Sotelo
Title
Chairman of the Board
Phone
(956) 789-0556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X TX Primary

Addresses

Primary practice location

963 W US Highway 83
Alamo, TX 78516-2529

Mailing address

963 W US Highway 83
P O Box 656
Alamo, TX 78516-2529
Phone (956) 783-8560

Other names 1

  • OTHER NAME Doing business as

National Provider Directory

National Provider Directory

Locations

963 W US Highway 83
Alamo, TX 78516
Phone (956) 783-8560

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225230352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 W US HIGHWAY 83",
            "address_2": "P O BOX 656",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785162529",
            "telephone_number": "956-783-8560",
            "fax_number": "956-702-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 W US HIGHWAY 83",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785162529",
            "telephone_number": "956-783-8560",
            "fax_number": "956-702-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PAVO REAL ADULT DAY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOTELO",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "956-789-0556",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OTHER NAME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alamo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.