Active NPI
Juan Antonio Alderete IV, M.S., CCC-SLP
- Speech-Language Pathologist
- El Paso, TX
National Provider Identifier
1235893116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 117275
- Practice address
- 14521 Horizon Blvd
El Paso, TX 79928-8564 - Phone
- (915) 926-4000
- NPI assigned
- Oct 26, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 117275 | TX | Primary |
Addresses
Primary practice location
14521 Horizon Blvd
El Paso, TX 79928-8564
Mailing address
12198 Bradbury Dr
El Paso, TX 79928-8616
Phone (915) 504-2717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117275 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clint Independent School District | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1235893116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12198 BRADBURY DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799288616",
"telephone_number": "915-504-2717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14521 HORIZON BLVD",
"city": "EL PASO",
"state": "TX",
"postal_code": "799288564",
"telephone_number": "915-926-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDERETE",
"first_name": "JUAN",
"middle_name": "ANTONIO",
"name_prefix": "Mr.",
"name_suffix": "IV",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-26",
"last_updated": "2021-10-26",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "117275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.