| Nuestra Clinica Del Valle, Inc. | |
|
801 W 1st Street San Juan TX 78589 | |
| (956) 787-8915 | |
| (956) 787-2021 |
| Full Name | Nuestra Clinica Del Valle, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 801 W 1st Street, San Juan, 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. Po Box 1689 Pharr TX 78577-1630 Ph: (956) 787-8915 | Nuestra Clinica Del Valle, Inc. 801 W 1st Street San Juan TX 78589 Ph: (956) 787-8915 |
| NPI Number | 1891793246 |
|---|---|
| Provider Enumeration Date | 07/11/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8921916552 |
|---|---|
| Medicare Enrollment ID | O20040426001604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891793246 | NPI | - | NPPES |
| 092951501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Texas) | Primary |
| Provider Name | Anna L Alquiza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639177850 PECOS PAC ID: 6406810688 Enrollment ID: I20041117000506 |
| Provider Name | David J Secord |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801874763 PECOS PAC ID: 1355392697 Enrollment ID: I20050203000953 |
| Provider Name | Judith Wojtowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316929185 PECOS PAC ID: 3476598996 Enrollment ID: I20050624000892 |
| Provider Name | Maria Elena Rodriguez De Lima |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891855656 PECOS PAC ID: 0547276313 Enrollment ID: I20101102000988 |
| Provider Name | Brian Wickwire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184622573 PECOS PAC ID: 2668659509 Enrollment ID: I20110602000190 |
| Provider Name | Patricia Zapata |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558500157 PECOS PAC ID: 8820268006 Enrollment ID: I20110825000276 |
| Provider Name | Marisol D Benavidez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891983888 PECOS PAC ID: 5597931758 Enrollment ID: I20120110000541 |
| Provider Name | Antonia M Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184884694 PECOS PAC ID: 2668632183 Enrollment ID: I20120320000992 |
| Provider Name | Ryan F Curtis |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1942504964 PECOS PAC ID: 9436310984 Enrollment ID: I20120411000151 |
| Provider Name | Manika Jha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275785271 PECOS PAC ID: 6305007493 Enrollment ID: I20120417000595 |
| Provider Name | Michele M Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558782920 PECOS PAC ID: 2860623139 Enrollment ID: I20140331000479 |
| Provider Name | Carlos A Medina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487092508 PECOS PAC ID: 8921323916 Enrollment ID: I20161011000679 |
| Provider Name | Olga R Nouri |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1710093398 PECOS PAC ID: 5496054538 Enrollment ID: I20161123000939 |
| Provider Name | Tania Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902322258 PECOS PAC ID: 2264799618 Enrollment ID: I20171120003522 |
| Provider Name | Rosa A Vallejo-loza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316456098 PECOS PAC ID: 6901163658 Enrollment ID: I20171205001339 |
| Provider Name | Miguel Angel Sanchez Rivas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851827166 PECOS PAC ID: 8426460452 Enrollment ID: I20210203001659 |
| Provider Name | Claudia Denice Martinez Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093326092 PECOS PAC ID: 3779998737 Enrollment ID: I20210225000734 |
| Provider Name | Grecia Mariel Benavides Chapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033736533 PECOS PAC ID: 1456768100 Enrollment ID: I20210325001976 |
| Provider Name | Yuliana Salinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760075485 PECOS PAC ID: 0941609937 Enrollment ID: I20210525000118 |
| Provider Name | Ana M Mendez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033597125 PECOS PAC ID: 3577828433 Enrollment ID: I20211216001884 |
| Provider Name | Yzel Vela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316608508 PECOS PAC ID: 7618362690 Enrollment ID: I20220310001164 |
| Provider Name | Renee Elaine Marinas Galace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124776315 PECOS PAC ID: 9032597869 Enrollment ID: I20220607000121 |
| Provider Name | Dora M. Zamora-flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053577254 PECOS PAC ID: 2668857715 Enrollment ID: I20220910000061 |
| Provider Name | Mayleth Dana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689305575 PECOS PAC ID: 9739556903 Enrollment ID: I20221031002523 |
| Provider Name | Janie Bruno-olivarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215621370 PECOS PAC ID: 6608235056 Enrollment ID: I20230704000250 |
| Provider Name | Ashley Yuridian Zuniga |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1457081218 PECOS PAC ID: 5395190037 Enrollment ID: I20231016001844 |
Nuestra Clinica Del Valle, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 806 W 3rd St, San Juan, TX 78589 Phone: 956-787-8915 Fax: 956-787-2021 | |
Baca Family Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 722 S Nebraska Ave, San Juan, TX 78589 Phone: 956-884-7100 Fax: 956-884-7784 | |
Nelson A Mata Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 South Nebraska, San Juan, TX 78589 Phone: 956-121-0663 Fax: 956-787-2666 | |
Yuri O. Bermudez, M.d. Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 N Nebraska Ave, San Juan, TX 78589 Phone: 956-223-0699 Fax: 717-482-5495 | |
Pediatric Kids Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 E Business 83 Ste 1200, San Juan, TX 78589 Phone: 956-739-3256 | |
Villarreal Medical Center, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3006 N Raul Longoria Rd, San Juan, TX 78589 Phone: 956-283-9800 Fax: 956-283-7020 | |
Pinnacle Health Med, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 N Raul Longoria Rd, Ste. P, San Juan, TX 78589 Phone: 956-702-4255 Fax: 956-702-4779 |