Individual provider Active NPI

Roberto Rios Valle Jr., APRN FMP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1710528567
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
676242 Issued in TX
Practice address
11730 West Ave
San Antonio, TX 78216-2524
Phone
(210) 340-8501
Fax
(210) 340-0129
NPI assigned
Oct 2, 2019
Last updated
Dec 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 676242 TX Primary

Addresses

Primary practice location

11730 West Ave
San Antonio, TX 78216-2524

Mailing address

2115 Pleasanton Rd Ste 205
San Antonio, TX 78221-1300
Phone (210) 922-3627

Other practice location 1

2115 Pleasanton Rd Ste 101
San Antonio, TX 78221-1300
Phone (210) 922-3627

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200413002598 TX Practitioner - Nurse Practitioner 3375973480 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
676242TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jar Enterprices Inc CurrentSince May 25, 2021 Accepting new patients
Hugo a. Rojas, M.D., P.a. CurrentSince May 25, 2021 Accepting new patients
Hugo a. Rojas, M.D.,P.a. Past Accepting new patients

Locations

11730 West Ave
San Antonio, TX 78216
Phone (210) 340-8501

2115 Pleasanton Rd
San Antonio, TX 78221
Phone (210) 922-3627

2115 Pleasanton Rd
#S205
San Antonio, TX 78221
Phone (210) 922-3627

2115 Pleasanton Rd
Ste 101
San Antonio, TX 78221
Phone (210) 922-3627

2115 Pleasanton Rd
Ste 205
San Antonio, TX 78221
Phone (210) 922-3627

Interoperability endpoints

  • Direct secure messaging: roberto.riosvalle@3696.securemail.prognocis.com

Organizations & group practices 3

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": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1710528567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 PLEASANTON RD STE 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211300",
            "telephone_number": "210-922-3627",
            "fax_number": "210-922-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11730 WEST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162524",
            "telephone_number": "210-340-8501",
            "fax_number": "210-340-0129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2115 Pleasanton Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782211300",
            "country_code": "US",
            "telephone_number": "210-922-3627",
            "fax_number": "210-922-3245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIOS VALLE",
        "first_name": "ROBERTO",
        "name_suffix": "Jr.",
        "credential": "APRN FMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-02",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "676242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.