NPIMap

Organization Active NPI

Centro San Vicente

  • Federally Qualified Health Center (FQHC)
  • El Paso, TX
National Provider Identifier
1831267079
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
8061 Alameda Ave
El Paso, TX 79915-4705
Phone
(915) 859-7545
NPI assigned
Dec 4, 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

8061 Alameda Ave
El Paso, TX 79915-4705

Mailing address

8061 Alameda Ave
El Paso, TX 79915-4705
Phone (915) 859-7545

Other identifiers 1

IdentifierTypeStateIssuer
130880104MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040510000695 TX Part B Supplier - Clinic/Group Practice 1355330994 Receives reassigned benefits from 29 practitioners
Practice locations: El Paso, TX
O20091014000420 TX Part A Provider - Federally Qualified Health Center (FQHC) 1355330994 1 other NPI on this enrollment
Practice locations: El Paso, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831267079. Details of each certification follow.

Federally qualified health center certification: CCN 451901

Legal name
CENTRO SAN VICENTE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 29, 1994
Last certification
Nov 29, 1994
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 31, 1994 in TX
Enrollment address
8061 Alameda Ave
El Paso, TX 79915-4705

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Maribel Acosta Individual W-2 Managing EmployeeCredentialing Specialist May 1, 2014
Edward Drusina Individual Corporate Director Feb 8, 2022
Patricia Duran Individual Corporate Director Feb 8, 2022
Paul Escobar Individual Corporate Director Feb 8, 2022
Mary Margaret Murphy Individual Corporate Director Feb 8, 2022
Eva Moya Individual Corporate Director Feb 8, 2022
Esther E Armendariz Individual Corporate OfficerChief Financial Officer Jul 5, 2016
Preciliano Ortega Individual Corporate Director Feb 8, 2022
Dominick Pedregon Individual W-2 Managing EmployeeCertified Coder-Billing Manager Apr 22, 2014
David Porras Individual Corporate DirectorBoard Chair Feb 8, 2022
Jose Manuel de la Rosa Individual Corporate Director Feb 8, 2022
Brent Rosen Individual Corporate Director Feb 8, 2022
Robert Alvarez Individual Corporate Director Feb 8, 2022
Christina Ilene Paz Individual Corporate OfficerChief Executive Officer Jan 1, 2009
Wendy Viramontes Individual Corporate Director Feb 8, 2022
Christina Estrellita Blanco Individual Corporate Director Feb 8, 2022
David M Driscoll Individual Corporate Director Feb 8, 2022

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 32

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 32

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1831267079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8061 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799154705",
            "telephone_number": "915-859-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8061 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799154705",
            "telephone_number": "915-859-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO SAN VICENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "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": "130880104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.