Centro San Vicente

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CENTRO SAN VICENTE

Practice address

1208 Myrtle Ave
El Paso, TX 79901-1602

Phone

(915) 351-8972

NPI assigned

Jul 25, 2007

Organization subpart

No

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

Authorized official

Name

Christina Ilene Paz

Title

Ceo

Phone

(915) 859-7545

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

Federally qualified health center certification: CCN 451931

Legal name

CENTRO SAN VICENTA (HOMELESS P

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 30, 2001

Last certification

Aug 30, 2001

Ownership / control type

For profit – partnership

Facility address

1208 Myrtle
El Paso, TX 79901

Other NPIs on the same Medicare enrollment 1

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

• Centro San Vicente

  • Federally Qualified Health Center (FQHC)
  • El Paso, TX
  • NPI 1831267079

  O20091014000420

  Same enrollment

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.

Owners & managing parties with NPI records 2

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

• Jose Manuel De la Rosa, M.D.

  • Pediatrics Physician
  • El Paso, TX
  • NPI 1558374868

  Corporate Director

  CMS ownership
• Christina I Paz, ANP

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1942536198

  Corporate Officer

  CMS ownership

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1841480902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 MYRTLE AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799011602",
            "telephone_number": "915-351-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 MYRTLE AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799011602",
            "telephone_number": "915-351-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO SAN VICENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "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": "130880107",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Centro de Salud Familiar la Fe, Inc.
• Centro de Salud Familiar la Fe, Inc.
• Centro de Salud Familiar la Fe, Inc.
• Centro San Vicente
• Centro San Vicente
• Centro San Vicente
• Centro San Vicente Pharmacy
• Cep America LLC
• Cep America LLC
• Cep America LLC

• Federally Qualified Health Center (FQHC) in El Paso, TX
• Providers in El Paso, TX by specialty
• Federally Qualified Health Center (FQHC) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.