NPIMap

Individual provider Active NPI

Jose Manuel Renteria-Alvarez, M.D.

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1669551297
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N4695 Issued in TX
Practice address
2311 N Mesa St Ste G
El Paso, TX 79902-3575
Phone
(915) 542-1751
Fax
(915) 545-1660
NPI assigned
Nov 3, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N4695 TX Primary

Addresses

Primary practice location

2311 N Mesa St Ste G
El Paso, TX 79902-3575

Mailing address

2311 N Mesa St Ste G
El Paso, TX 79902-3575
Phone (915) 542-1751

Other identifiers 1

IdentifierTypeStateIssuer
036116257MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N4695TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Hospitals Limited Past Accepting new patients
Tenet Hospitals Limited Past Accepting new patients
El Paso Healthcare System LTD Past Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jose.renteria-alvarez.1@1438.direct.athenahealth.com

Organizations & group practices 4

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669551297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 N MESA ST STE G",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023575",
            "telephone_number": "915-542-1751",
            "fax_number": "915-545-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 N MESA ST STE G",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023575",
            "telephone_number": "915-542-1751",
            "fax_number": "915-545-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTERIA-ALVAREZ",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N4695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036116257",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.