José Antonio Alvarado, DNP, FNP-C.
Dr. José Antonio Alvarado’s journey to hospice care began long before the doors of Vara Hospice opened. Adopted and raised in Houston, Texas, alongside his brother, he grew up in a modest home where his father, a stoic master plumber and Vietnam veteran, and his mother, a devoted and disciplined homemaker, instilled the values of hard work, resilience, and compassion. From an early age, his natural empathy and ability to comfort others set the foundation for a life in service to people.
In March 2018, after the passing of his father, Dr. Alvarado was inspired to transform his grief into action. Just two months later, Vara Hospice was founded, dedicated to honoring life with dignity and compassion. From the beginning, Vara Hospice distinguished itself by stepping into roles that few hospices ever attempt, launching large-scale vaccination campaigns and even being the first in the nation to vaccinate migrant families, long before such efforts were common. This pioneering spirit positioned Vara Hospice as both a leader in care and a voice for vulnerable communities, setting a lasting standard of service.
Cristina Barrera, LMSW
Cristina is a Licensed Master Social Worker in the State of Texas. She earned her Master’s degree in Social Work from the University of Texas Rio Grande Valley and is continuing her professional journey as a clinical social worker. Her clinical interests include trauma, grief, resiliency, and end-of-life care. Cristina has meaningful experience in hospice, where she supported patients and families with compassion through the challenges of serious illness and loss. She also has a background in crisis intervention and mental health through her work with the local mental health and behavioral authority. Outside of her professional life, Cristina enjoys spending time with her loved ones and traveling.
Stephanie Cazares, BSN, RN Director of Nursing & Alternate Administrator
For Stephanie Cazares, nursing has always been more than a career; it’s a calling. Inspired by a lifelong passion for caring for others, Stephanie now serves as the Director of Nursing and Alternate Administrator at Vara Hospice, where she leads with compassion, empathy, and a deep commitment to patient dignity.
With a Bachelors in Science and Nursing, Stephanie brings both clinical expertise and a heartfelt approach to end-of-life care. She believes hospice is not just about managing symptoms — it’s about honoring each patient’s journey, providing comfort, and supporting families through one of life’s most vulnerable times.
Stephanie works closely with her team to ensure that every patient and family receives the care, guidance, and emotional support they deserve. Beyond her leadership role, she is passionate about educating the community on hospice, advanced care planning, and empowering families to make informed choices with compassion and confidence.
For Stephanie, every patient’s story matters, and through her work at Vara Hospice, she strives to make every moment meaningful, peaceful, and dignified.
Patricia Acosta de Serna, CNA
I am a Certified Nursing Assistant (CNA) with over 14 years of experience, including 2 years in hospice care. Throughout my career, I have developed strong caregiving skills, always providing care with compassion, empathy, and humanity. Working in hospice has given me the opportunity to leave a positive impact, offering both physical and emotional support during meaningful moments.