| Nuestra Clinica Del Valle Inc | |
|
1500 W 1st St Mercedes TX 78570 | |
| (956) 565-3191 | |
| (956) 514-4978 |
| Full Name | Nuestra Clinica Del Valle Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1500 W 1st St, Mercedes, Texas |
| Authorized Official Name and Position | Maria L Torres (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9567878915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nuestra Clinica Del Valle Inc 1500 W 1st St Mercedes TX 78570-2551 Ph: (956) 565-3191 | Nuestra Clinica Del Valle Inc 1500 W 1st St Mercedes TX 78570 Ph: (956) 565-3191 |
| NPI Number | 1235267949 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 08/31/2018 |
| Medicare PECOS PAC ID | 8921916552 |
|---|---|
| Medicare Enrollment ID | O20031107000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235267949 | NPI | - | NPPES |
| 019058901 | Medicaid | TX | |
| 451809 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 03337 (Texas) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Texas) | Primary |
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