VICENTE JACQUEZ (NPI# 1861725228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861725228 |
| Entity Type | Individual |
| Full Name | VICENTE JACQUEZ |
| Credential | NP-C |
| Practice Address |
6065 Montana Ave Suite A-2 El Paso TX 79925-1835 |
| Mailing Address |
240 Lorraine Ln Chaparral NM 88081-7435 |
| Practice Telephone | 9157717200 |
| Mailing Telephone | 9154974645 |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2011-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1105 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6065 MONTANA AVE SUITE A-2 |
| City | EL PASO |
| State | TX |
| Zip Code | 79925-1835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922040658 | Zafer Hasan Haydar | Specialist | 6065 Montana Ave, Suite A2, El Paso, TX 79925-1835 | 2006-06-10 |
| 1861976995 | Miranda Jean Castaneda | Registered Nurse | 6065 Montana Ave, El Paso, TX 79925-1835 | 2018-09-25 |
| 1457878514 | Aicha Khamsi | Dentist | 6065 Montana Ave, El Paso, TX 79925-1835 | 2017-08-29 |
| 1215457536 | Nam Le | Dentist | 6065 Montana Ave, El Paso, TX 79925-1835 | 2017-06-27 |
| 1912259631 | Craig R Rainer | Dentist | 6065 Montana Ave, El Paso, TX 79925-1835 | 2012-10-04 |
| 1871894907 | Stephen Petty | Dentist | 6065 Montana Ave, El Paso, TX 79925-1835 | 2010-11-05 |
| 1881918092 | Ankur Bharat Patel | Radiology | 6065 Montana Ave, Suite A-6, El Paso, TX 79925-1835 | 2010-03-16 |
| 1881873008 | North Mesa Dental, PC | Dentist | 6065 Montana Ave, Suite B4 - B10, El Paso, TX 79925-1835 | 2007-10-25 |
| 1457555351 | El Paso Therapy Services Inc | Durable Medical Equipment & Medical Supplies | 6065 Montana Ave, Suite B2, El Paso, TX 79925-1835 | 2007-06-13 |
| 1386708865 | E.p. Premier Medical Group, P.a. | Internal Medicine | 6065 Montana Ave, Suite A-2, El Paso, TX 79925-1835 | 2006-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434820 | Francisco Andres Escobar | Dentist | 2200 N Yardbrough Dr, Suite N, El Paso, TX 79925 | 2020-07-08 |
| 1982259495 | Cruz Elvia Corral | Assisted Living Facility | 10165 Bermuda, El Paso, TX 79925 | 2019-08-02 |
| 1740846179 | Sister Sisters In Home Care Services LLC | In Home Supportive Care | 9327 Sims Drive, Suite F, El Paso, TX 79925 | 2019-05-10 |
| 1245790450 | Mario Salinas | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W, El Paso, Texas 79925, El Paso, TX 79925 | 2019-03-22 |
| 1720559289 | Sweet Care Home Care Providers LLC | PACE Provider Organization | 7917 Sunmount Dr, El Paso, TX 79925 | 2018-12-10 |
| 1083130215 | Javier Calzadilla Jr. | Behavior Technician | 9900 Montana Ave Ste C6, El Paso, TX 79925 | 2017-08-18 |
| 1942721980 | Isela Cristina Sanchez | Specialist/Technologist | 3021 Killarney St., El Paso, TX 79925 | 2017-06-29 |
| 1831629617 | Rebekah E Alvarez | Behavior Technician | 2200 North Yarabrough Suite B, Apt 103, El Paso, TX 79925 | 2017-06-14 |
| 1841646817 | Imelda Barbosa | Counselor | 9455 Viscount 170, El Paso, TX 79925 | 2016-05-10 |
| 1528426491 | Salnor, Inc. | Clinic/Center | 8517 Lockheed Dr., El Paso, TX 79925 | 2016-02-05 |
| Find all providers in zip 79925 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1568062172 | Cinthia B Gomez | Nurse Practitioner | 8401 Edgemere Blvd, El Paso, TX 79925-3922 | 2020-11-01 |
| 1407456072 | Aurora Nichole Apodaca | Nurse Practitioner | 748 Tepic Dr, El Paso, TX 79912-1704 | 2020-10-31 |
| 1043818412 | Ricardo Serrano | Nurse Practitioner | 4300 Bliss Ave, El Paso, TX 79903-1832 | 2020-10-16 |
| 1841897212 | Olivia Silva Juarez | Nurse Practitioner | 617 Paseo Hermoso Dr, El Paso, TX 79928-8419 | 2020-10-07 |
| 1609480540 | Norma M Vega | Nurse Practitioner | 6974 Gateway Blvd E Ste Y, El Paso, TX 79915-1118 | 2020-09-08 |
| 1952914087 | Danika Nikole Davila | Nurse Practitioner | 3270 Joe Battle Blvd Ste 245, El Paso, TX 79938-2651 | 2020-08-28 |
| 1841803095 | Joshua Neal Crawford | Nurse Practitioner | 10615 Sombra Verde Dr, El Paso, TX 79935-3612 | 2020-08-27 |
| 1902419294 | Belinda Esperanza Walker | Nurse Practitioner | 3405 Moonlight Ave, El Paso, TX 79904-1024 | 2020-08-26 |
| 1487264198 | Venessa Jean Tellez | Nurse Practitioner | 10800 Walden Pond St, El Paso, TX 79924-2407 | 2020-08-06 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.