Organization Active NPI

Luis Valencia MD PA

Doing business as Valley Pediatric Clinic

  • Pediatrics Physician
  • Rio Grande City, TX
National Provider Identifier
1316370430
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L2722 Issued in TX
Legal business name
LUIS VALENCIA MD PA
Doing business as
Valley Pediatric Clinic
Practice address
131 N FM 3167 Ste D
Rio Grande City, TX 78582-7009
Phone
(956) 317-1126
Fax
(956) 487-0097
NPI assigned
Aug 13, 2013
Last updated
Jul 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Luis Valencia, MDNPI 1871501957
Title
Owner
Phone
(956) 317-1126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L2722 TX Primary

Addresses

Primary practice location

131 N FM 3167 Ste D
Rio Grande City, TX 78582-7009

Mailing address

131 N FM 3167 Ste D
Rio Grande City, TX 78582-7009
Phone (956) 317-1126

Other names 1

  • Valley Pediatric Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Luis Valencia MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2790 Pharmacy Rd
Rio Grande Cy, TX 78582
Phone (956) 487-5621

Practitioners & affiliated clinicians

Practitioners 6

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": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1316370430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N FM 3167 STE D",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785827009",
            "telephone_number": "956-317-1126",
            "fax_number": "956-317-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N FM 3167 STE D",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785827009",
            "telephone_number": "956-317-1126",
            "fax_number": "956-487-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS VALENCIA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-317-1126",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L2722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Pediatric Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Grande City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.