Individual provider Active NPI

Roberto Valledor, MD

  • Family Medicine Physician
  • Mission, TX
National Provider Identifier
1699351049
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V3130 Issued in TX
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241216003922 TX Practitioner - Family Practice 2062949951 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
V3130TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valledor Health, PLLC Family Medicine CurrentSince Nov 11, 2024 Accepting new patients

Locations

1612 N Conway Ave
Mission, TX 78572
Phone (956) 519-9398

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAAGDD/Endpoint/DAAGDD
  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.