Organization Active NPI

Alvin Clinica Familiar, Inc

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1306219662
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129563 Issued in TX
Legal business name
ALVIN CLINICA FAMILIAR, INC
Practice address
7400 Harwin Dr Ste 319
Houston, TX 77036-2094
Phone
(832) 831-8925
Fax
(832) 581-3624
NPI assigned
Nov 9, 2015
Last updated
Jul 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Mr. Alvin Mena Cantero, F.N.PNPI 1669845822
Title
Nurse Practitioner
Phone
(832) 831-8925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X AP129563 TX
Family Nurse Practitioner 363LF0000X AP129563 TX Primary

Addresses

Primary practice location

7400 Harwin Dr Ste 319
Houston, TX 77036-2094

Mailing address

7400 Harwin Dr Ste 319
Houston, TX 77036-2094
Phone (832) 831-8925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160810000162 TX Part B Supplier - Clinic/Group Practice 2264726579 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

7400 Harwin Dr
Ste 319
Houston, TX 77036
Phone (713) 782-5348

8690 W Bellfort Ave
Houston, TX 77031

8690 W Bellfort Ave
#A
Houston, TX 77031
Phone (832) 831-8925

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1306219662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 HARWIN DR STE 319",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362094",
            "telephone_number": "832-831-8925",
            "fax_number": "832-581-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 HARWIN DR STE 319",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362094",
            "telephone_number": "832-831-8925",
            "fax_number": "832-581-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVIN CLINICA FAMILIAR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "MENA CANTERO",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "832-831-8925",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "F.N.P"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "AP129563",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.