Active NPI
Roberto Valledor, MD
- Family Medicine Physician
- Mission, TX
National Provider Identifier
1699351049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- V3130
- Practice address
- 1612 N Conway Ave
Mission, TX 78572-4004 - Phone
- (956) 591-0000
- Fax
- (956) 591-0052
- NPI assigned
- Mar 23, 2021
- Last updated
- May 6, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | V3130 | TX | Primary |
Addresses
Primary practice location
1612 N Conway Ave
Mission, TX 78572-4004
Mailing address
1612 N Conway Ave
Mission, TX 78572-4004
Phone (956) 591-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1612 N Conway Ave
Mission, TX 78572-4004
Phone (956) 591-0000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V3130 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valledor Health, PLLC | Family Medicine | Current | Accepting new patients |
Locations
1612 N Conway Ave
Mission, TX 78572
Phone (956) 519-9398
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DAAGDD/Endpoint/DAAGDD
- roberto.valledor.1@27998.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Medimisson Medical Center
- Family Medicine Physician
- Mission, TX
- NPI 1982421087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1699351049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 N CONWAY AVE",
"city": "MISSION",
"state": "TX",
"postal_code": "785724004",
"telephone_number": "956-591-0000",
"fax_number": "956-591-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 N CONWAY AVE",
"city": "MISSION",
"state": "TX",
"postal_code": "785724004",
"telephone_number": "956-591-0000",
"fax_number": "956-591-0052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLEDOR",
"first_name": "ROBERTO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-23",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "V3130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission, TX
- Brenda Valencia, LCSW
- Victor Manuel Valencia Jr.
- Randolph Valenzuela
- Valle Feliz Adult Day Care, Inc.
- Valledor Health, PLLC (Medimisson Medical Center)
- Daniel Arnoldo Vallejo
- Valley Dental Outreach PLLC
- Valley Heart and Vascular Solutions PLLC
- Valley Home DME Supply
- Valley Internal Medicine Associates PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.