Nuestra Clinica del Valle Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Roma, TX
NPI 1104057504 · NPPES record last updated Jun 23, 2026
Key facts
- NPI
- 1104057504
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- NUESTRA CLINICA DEL VALLE INC
- Practice address
- 2891 E Grant St
Roma, TX 78584 - Phone
- (956) 849-2100
- Fax
- (956) 787-8915
- NPI assigned
- Aug 3, 2009
- Organization subpart
- No
Authorized official
- Name
- Mrs. Maria L Torres
- Title
- Chief Executive Officer
- Phone
- (956) 787-8915
Owners & managing parties with NPI records 1
-
Oscar Luis Corral, DPM
Other NPIs with the same Medicare PAC ID 10
Corporate family (same tax ID) 13
Practitioners 28
-
Melany Benavides, NP
-
Marisol D. Benavidez, M.D.
-
Janie Bruno-Olivarez, FNP
-
Crystal Lynn Chiu, LPC
-
Mayleth Dana, FNP-C
-
Marina Elia Escobar, LPC
-
Jessenya Lizette Falcon, P.A.
-
Anna Garcia, M.A., LPC
-
Michele Marie Jackson, FNP-C
-
Manika Jha, M.D.
-
Miguel Montemayor, LPC
-
Tania Morales, NP
-
Anna Cecilia Munoz, PA-C
-
Jose Refugio Rios Jr., PA-S
-
Hugo L. Saravia, PA C
-
Christopher J Schofield, P.A.-C
-
David John Secord, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Federally qualified health center certification: CCN 671920
- Legal name
- NUESTRA CLINICA DEL VALLE, INC.
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Aug 28, 2009
- Last certification
- Aug 28, 2009
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Nov 17, 1971 in TX
- Enrollment address
- 2891 E Grant St
Roma, TX 78584-8914
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Rosalinda Elliott |
Corporate Director |
May 25, 2010 | |
| Viola Elizondo |
Corporate Director |
May 25, 2010 | |
| David R Vasquez |
Corporate Officer |
Jan 1, 2020 | |
| Irismelda Hernandez |
Corporate Director |
Sep 28, 2010 | |
| Juanita M Rangel |
Corporate Director |
Jul 31, 2012 | |
| Juan F Garcia |
Corporate Director |
Sep 28, 2010 | |
| Maria L Torres |
Corporate Director |
Nov 1, 1997 | |
| W-2 Managing Employee |
Nov 1, 1997 | ||
| Anselmo Cruz |
Corporate Director |
Nov 30, 2010 | |
| Maria Leticia Gonzalez |
Corporate Director |
Sep 25, 2012 | |
| Belen Flores |
Corporate Director |
Jul 31, 2012 | |
| Francesca Barbin |
Corporate Officer |
Feb 1, 2021 | |
| Alma Lucila de la Vega |
Corporate Director |
Apr 20, 2010 | |
| Maria Cantu |
Corporate Director |
Aug 22, 2017 | |
| Oscar L Corral |
Corporate Officer |
Feb 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090812000499 | TX | Part a Provider - Federally Qualified Health Center (FQHC) | 8921916552 | Practice locations: Roma, TX |
National Provider Directory
- Tax ID family
- Nuestra Clinica del Valle
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
2891 E Grant St
Roma, TX 78584
Mailing address
2891 E Grant St
Roma, TX 78584-9170
Phone (956) 849-2100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 314308302 | Medicaid | TX |
Other providers in Roma, TX
- Maida Isabel Mascorro
- Mi Otra Casita El Paraiso
- Cristina Moreno
- Maria Angela Monique S Moreno
- Raymond P Mussett
- Nueva Esperanza Adult Day Care
- Liliana Maria Ortega
- Kariana Pena
- Keila Pena
- Sara Pena
All providers in Roma, TX · Federally Qualified Health Center (FQHC) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.