NUESTRA CLINICA DEL VALLE, INC. (NPI# 1053728360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053728360 |
| Entity Type | Organization |
| Organization Name | NUESTRA CLINICA DEL VALLE, INC. |
| Practice Address |
806 W 3rd St San Juan TX 78589 |
| Mailing Address |
Po Box 1689 Pharr TX 78577-1630 |
| Practice Telephone | 9567878915 |
| Practice Fax Number | 9567872021 |
| Mailing Telephone | 9567878915 |
| Mailing Fax Number | 9567872021 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2018-08-31 |
| Authorized Official Name | MRS. MARIA L TORRES (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9567878915 |
| Authorized Official Credential | BBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 288560001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891793246 | Nuestra Clinica Del Valle, Inc. | Clinic/Center | 801 W 1st Street, San Juan, TX 78589 | 2005-07-11 |
| 1932516242 | Nuestra Clinica Del Valle, Inc. | Clinic/Center | 2900 N Raul Longoria Rd, San Juan, TX 78589 | 2014-07-18 |
| Street Address |
806 W 3RD ST |
| City | SAN JUAN |
| State | TX |
| Zip Code | 78589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598763450 | Kenia Victoria Lee | Nurse Practitioner | 806 W 3rd St, San Juan, TX 78589 | 2005-07-13 |
| 1457359333 | Ventzislav D Vanguelov | Obstetrics & Gynecology | 806 W 3rd St, San Juan, TX 78589 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417598814 | Nueva Vida Primary Home Care LLC | In Home Supportive Care | 213 W. Business 83, San Juan, TX 78589 | 2019-10-07 |
| 1396207858 | Heart To Heart Talks, LLC | Counselor | 409 W. Fm 495, San Juan, TX 78589 | 2019-04-03 |
| 1386131209 | L4 Family Investments, LLC. | Technician | 1709 S Stewart Rd, San Juan, TX 78589 | 2018-04-16 |
| 1558741553 | Paraiso Dental Pllc | Clinic/Center | 1618 N Veterans Blvd Suite A, San Juan, TX 78589 | 2015-06-04 |
| 1811325970 | Liquid Dental, Pllc | Dentist | 105 South Cesar Chavez Road, Suite #2, San Juan, TX 78589 | 2013-10-28 |
| 1598021966 | Kids Dental & Orthodontics | Dentist | 1618 N. I Road Suite A, San Juan, TX 78589 | 2012-04-10 |
| 1003180704 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 100 E Fm 495, San Juan, TX 78589 | 2012-02-28 |
| 1598074932 | Chukwunonso Jideofor Azikiwe | Physical Therapy Assistant | 407 W. State Hwy 495, San Juan, TX 78589 | 2010-10-04 |
| 1093044539 | Melissa Rivera Dds Pa | Dentist | 4500 N Raul Longoria Street, San Juan, TX 78589 | 2009-12-11 |
| 1598995607 | Marivel Lydia Cavazos | Nurse Practitioner | 1211 N. Raul Longoria Ra. Ste C, San Juan, TX 78589 | 2009-07-23 |
| Find all providers in zip 78589 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891793246 | Nuestra Clinica Del Valle, Inc. | Clinic/Center | 801 W 1st Street, San Juan, TX 78589 | 2005-07-11 |
| 1932516242 | Nuestra Clinica Del Valle, Inc. | Clinic/Center | 2900 N Raul Longoria Rd, San Juan, TX 78589 | 2014-07-18 |
| 1538310040 | Ipa 508 Belaval | Clinic/Center | 2003 Ave Borinquen, San Juan, PR 00915-3814 | 2008-10-02 |
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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.