Organization Active NPI

Alice Medical and Diagnostic Center, P.a.

Doing business as Alice Medical and Diagnostic Center

  • Pulmonary Disease Physician
  • Alice, TX
National Provider Identifier
1528293487
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
ALICE MEDICAL AND DIAGNOSTIC CENTER, P.A.
Doing business as
Alice Medical and Diagnostic Center
Practice address
230 S Gulf St
Alice, TX 78332-4310
Phone
(361) 661-0388
Fax
(361) 661-0631
NPI assigned
May 21, 2009
Last updated
May 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Authorized official

Name
Dr. Jose Perez, M.D.
Title
Director
Phone
(361) 661-0388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

230 S Gulf St
Alice, TX 78332-4310

Mailing address

PO Box 1760
Alice, TX 78333-1760
Phone (361) 661-0388

Other names 1

  • Alice Medical and Diagnostic Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1528293487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1760",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783331760",
            "telephone_number": "361-661-0388",
            "fax_number": "361-661-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S GULF ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324310",
            "telephone_number": "361-661-0388",
            "fax_number": "361-661-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE MEDICAL AND DIAGNOSTIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "361-661-0388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alice Medical and Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alice, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.