NPIMap

Organization Active NPI

Centro San Vicente

  • Federally Qualified Health Center (FQHC)
  • San Elizario, TX
National Provider Identifier
1780761452
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CENTRO SAN VICENTE
Practice address
13017 Perico St
San Elizario, TX 79849-1517
Phone
(915) 851-0999
Fax
(915) 851-6060
NPI assigned
Nov 1, 2006
Last updated
May 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Christina Ilene PazNPI 1942536198
Title
Ceo
Phone
(915) 859-7545

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

13017 Perico St
San Elizario, TX 79849-1517

Mailing address

PO Box 1517
San Elizario, TX 79849-1517
Phone (915) 851-0999

Other identifiers 1

IdentifierTypeStateIssuer
130880102MedicaidTX

Medicare participation

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780761452. Details of each certification follow.

  • CCN 451916 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 451916

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CENTRO SAN VICENTE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 20, 1999
Last certification
Apr 20, 1999
Ownership / control type
For profit – corporation
Facility address
13017 Perico Road
San Elizario, TX 79849

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0965745Centro San Vicente13017 Perico, San Elizario, TX 79849Provider-performed microscopyJul 9, 2026

National Provider Directory

National Provider Directory
Tax ID family
Daughters of Charity3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10780 Pebble Hills Blvd
Ste G1
El Paso, TX 79935
Phone (915) 773-0606

8061 Alameda Ave
El Paso, TX 79915
Phone (915) 859-7545

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1780761452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1517",
            "city": "SAN ELIZARIO",
            "state": "TX",
            "postal_code": "798491517",
            "telephone_number": "915-851-0999",
            "fax_number": "915-851-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13017 PERICO ST",
            "city": "SAN ELIZARIO",
            "state": "TX",
            "postal_code": "798491517",
            "telephone_number": "915-851-0999",
            "fax_number": "915-851-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO SAN VICENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "PAZ",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "ILENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "915-859-7545"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130880102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Elizario, TX

Sources for this page

Verify at the official NPI Registry.