Vicente Alvarez, FNP
Individual provider Active NPI Nurse Practitioner · Pharr, TX
NPI 1891404547 · NPPES record last updated Feb 13, 2023
Key facts
- NPI
- 1891404547
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 1095225 (TX)
- Practice address
- 1002 W Sam Houston Blvd Ste 4
Pharr, TX 78577-5198 - Phone
- (956) 783-1400
- Fax
- (956) 783-8818
- NPI assigned
- Nov 22, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230110002061 | TX | Practitioner - Nurse Practitioner | 9830569789 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mdpa, PLLC | Family Medicine | Current |
Accepting new patients |
Locations
926 W Sam Houston Blvd
Ste 1
Pharr, TX 78577
Phone (956) 447-3565
Interoperability endpoints
- valvarez@beaconhealthcare.ssdirect.aprima.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1095225 | TX | Yes |
Addresses
Primary practice location
1002 W Sam Houston Blvd Ste 4
Pharr, TX 78577-5198
Mailing address
1002 W Sam Houston Blvd Ste 4
Pharr, TX 78577-5198
Phone (956) 783-1400
Other providers in Pharr, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.