NPIMap

Organization Active NPI

Nuestra Clinica del Valle Inc

  • Federally Qualified Health Center (FQHC)
  • Roma, TX
National Provider Identifier
1104057504
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 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
Last updated
Jun 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Maria L Torres
Title
Chief Executive Officer
Phone
(956) 787-8915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

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 1

IdentifierTypeStateIssuer
314308302MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090812000499 TX Part A Provider - Federally Qualified Health Center (FQHC) 8921916552 Practice locations: Roma, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104057504. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Nov 17, 1971 in TX
Enrollment address
2891 E Grant St
Roma, TX 78584-8914

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Nuestra Clinica del Valle16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

600 N Garza St
Ste A
Rio Grande City, TX 78582
Phone (956) 487-0846

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rosalinda Elliott Individual Corporate DirectorBoard Member May 25, 2010
Viola Elizondo Individual Corporate DirectorBoard Member May 25, 2010
David R Vasquez Individual Corporate OfficerBoard Member Jan 1, 2020
Irismelda Hernandez Individual Corporate DirectorBoard Member Sep 28, 2010
Juanita M Rangel Individual Corporate DirectorBoard Member Jul 31, 2012
Juan F Garcia Individual Corporate DirectorBoard Member Sep 28, 2010
Maria L Torres Individual Corporate DirectorChief Executive Officer Nov 1, 1997
W-2 Managing EmployeeChief Executive Officer Nov 1, 1997
Anselmo Cruz Individual Corporate DirectorBoard Member Nov 30, 2010
Maria Leticia Gonzalez Individual Corporate DirectorBoard Member Sep 25, 2012
Belen Flores Individual Corporate DirectorBoard Member Jul 31, 2012
Francesca Barbin Individual Corporate OfficerBoard Member Feb 1, 2021
Alma Lucila de la Vega Individual Corporate DirectorBoard Member Apr 20, 2010
Maria Cantu Individual Corporate DirectorBoard Member Aug 22, 2017
Oscar L Corral Individual Corporate OfficerBoard Member Feb 1, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1104057504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2891 E GRANT ST",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "785849170",
            "telephone_number": "956-849-2100",
            "fax_number": "956-787-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891 E GRANT ST",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "78584",
            "telephone_number": "956-849-2100",
            "fax_number": "956-787-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUESTRA CLINICA DEL VALLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "956-787-8915",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314308302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roma, TX

Sources for this page

Verify at the official NPI Registry.