Organization Active NPI

Victoriano Valdez M.D. P.a.

  • Internal Medicine Physician
  • Eagle Pass, TX
National Provider Identifier
1467637132
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VICTORIANO VALDEZ M.D. P.A.
Practice address
1951 N Veterans Blvd
Eagle Pass, TX 78852-4476
Phone
(830) 773-5000
Fax
(830) 773-6262
NPI assigned
Dec 31, 2007
Last updated
Sep 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Authorized official

Name
Dr. Victoriano Valdez, M.D.NPI 1982682225
Title
President
Phone
(830) 773-5000

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1951 N Veterans Blvd
Eagle Pass, TX 78852-4476

Mailing address

PO Box 7130
Eagle Pass, TX 78853-7130
Phone (830) 773-5000

Other identifiers 1

IdentifierTypeStateIssuer
115301701MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170508001215 TX Part B Supplier - Clinic/Group Practice 8527345156 Receives reassigned benefits from 1 practitioner
Practice locations: Eagle Pass, TX

National Provider Directory

National Provider Directory

Locations

1951 N Veterans Blvd
Eagle Pass, TX 78852
Phone (830) 773-5000

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": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1467637132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7130",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788537130",
            "telephone_number": "830-773-5000",
            "fax_number": "830-773-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 N VETERANS BLVD",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524476",
            "telephone_number": "830-773-5000",
            "fax_number": "830-773-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIANO VALDEZ M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "VICTORIANO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-773-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115301701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.