Individual provider Active NPI

Vicente Granado, FNP

  • Family Nurse Practitioner
  • San Benito, TX
National Provider Identifier
1356992655
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143060 Issued in TX
Practice address
351 N Sam Houston Blvd
San Benito, TX 78586-4656
Phone
(956) 247-7000
Fax
(956) 399-6331
NPI assigned
Sep 27, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP143060 TX Primary

Addresses

Primary practice location

351 N Sam Houston Blvd
San Benito, TX 78586-4656

Mailing address

502 S Closner Blvd
Edinburg, TX 78539-4660
Phone (956) 468-2999

Other identifiers 1

IdentifierTypeStateIssuer
AP143060OtherTXTEXAS BOARD OF NURSING LICENSE

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
I20200220000396 TX Practitioner - Nurse Practitioner 2365879954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

502 S Closner Blvd
Edinburg, TX 78539-4660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Care Wellness PLLC Family Current Accepting new patients
South Texas Physician Partners PLLC CurrentSince Apr 2, 2025 Accepting new patients
San Benito Medical Associates, PLLC CurrentSince May 19, 2022 Accepting new patients
Valley Medical Arts Clinic PA CurrentSince Dec 1, 2022 Accepting new patients
Monzer H Yazji MD & Associates PLLC CurrentSince Dec 1, 2022 Accepting new patients
San Benito Medical Associates, PLLC Current Accepting new patients

Locations

1601 E Alton Gloor Blvd
Brownsville, TX 78526

1601 E Alton Gloor Blvd
Ste 109
Brownsville, TX 78526
Phone (956) 550-9669

502 S Closner Blvd
Edinburg, TX 78539
Phone (956) 292-0100

721 W Harrison Ave
Harlingen, TX 78550
Phone (956) 247-7000

5201 N 10th St
McAllen, TX 78504
Phone (956) 631-5411

351 N Sam Houston Blvd
San Benito, TX 78586
Phone (956) 247-7000

Interoperability endpoints

  • Direct secure messaging: vicente.granado.1@33464.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12992/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1356992655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785394660",
            "telephone_number": "956-468-2999",
            "fax_number": "956-468-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 N SAM HOUSTON BLVD",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785864656",
            "telephone_number": "956-247-7000",
            "fax_number": "956-399-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANADO",
        "first_name": "VICENTE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-27",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING  LICENSE",
            "identifier": "AP143060",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Benito, TX

Sources for this page

Verify at the official NPI Registry.