Individual provider Active NPI

Jose Santiago Esquivel Jr., APRN AGACNP-BC, MSN

  • Acute Care Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1265143564
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1099943 Issued in TX
Practice address
1600 Medical Center Dr Ste 218
El Paso, TX 79902-5008
Phone
(915) 910-1351
Fax
(915) 262-4876
NPI assigned
Dec 7, 2022
Last updated
Mar 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1099943 TX
Acute Care Nurse Practitioner 363LA2100X 1099943 TX Primary

Addresses

Primary practice location

1600 Medical Center Dr Ste 218
El Paso, TX 79902-5008

Mailing address

1600 Medical Center Dr Ste 218
El Paso, TX 79902-5008
Phone (915) 910-1351

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
I20230105002089 TX Practitioner - Nurse Practitioner 0941670095 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Orthopedic and Spine Institute PLLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

1600 Medical Center Dr
Ste 218
El Paso, TX 79902
Phone (915) 838-1900

1125 Texas Ave
Ste B01
El Paso, TX 79901
Phone (915) 276-4286

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, 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": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1265143564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR STE 218",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025008",
            "telephone_number": "915-910-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR STE 218",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025008",
            "telephone_number": "915-910-1351",
            "fax_number": "915-262-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESQUIVEL",
        "first_name": "JOSE",
        "middle_name": "SANTIAGO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "APRN AGACNP-BC, MSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-07",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1099943",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1099943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.