Accurate Vascular Diagnostic Center, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

ACCURATE VASCULAR DIAGNOSTIC CENTER, LLC

Practice address

1801 S 5TH St
Suite 208
McAllen, TX 78503-2927

Phone

(956) 994-9193

NPI assigned

Nov 12, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Wally Reynaldo Prado, RVT

Title

Administrative Director

Phone

(956) 994-9193

Specialties & licenses 1

Addresses

Other names 1

• AVDCenter Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose A Gonzalez, MD

  • Vascular Surgery Physician
  • McAllen, TX
  • NPI 1689709925
  NPD

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1285961201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S MCCOLL RD",
            "address_2": "SUITE B, PMB 163",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031501",
            "telephone_number": "956-994-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S 5TH ST",
            "address_2": "SUITE 208",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785032927",
            "telephone_number": "956-994-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCURATE VASCULAR DIAGNOSTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "PRADO",
        "authorized_official_first_name": "WALLY",
        "authorized_official_middle_name": "REYNALDO",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "956-994-9193",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RVT"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVDCenter",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Alicia Raquel Acevedo, SLP
• Sandra Elizabeth Acevedo, RN
• Todd Acevedo
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• All providers in McAllen, TX
• Physiological Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.