Individual provider Active NPI

Ray Valadez Cortez, M.D.

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1710901541
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J4059 Issued in TX
Practice address
102 Babcock Rd Ste 100
San Antonio, TX 78201-3952
Phone
(210) 572-1430
Fax
(210) 572-1434
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X J4059 TX
Pediatrics Physician 208000000X J4059 TX Primary

Addresses

Primary practice location

102 Babcock Rd Ste 100
San Antonio, TX 78201-3952

Mailing address

102 Babcock Rd Ste 100
San Antonio, TX 78201-3952
Phone (210) 572-1430

Other identifiers 3

IdentifierTypeStateIssuer
5428691OtherTXAETNA
74-2946869OtherTXTID
8AJ410OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J4059TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica del Norte Pediatrics PLLC Pediatrics PastSince Dec 5, 2021 Accepting new patients
Little Spurs Pediatric Urgent Care, PLLC Pediatrics PastSince Oct 31, 2010 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1710901541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BABCOCK RD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782013952",
            "telephone_number": "210-572-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BABCOCK RD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782013952",
            "telephone_number": "210-572-1430",
            "fax_number": "210-572-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "RAY",
        "middle_name": "VALADEZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "J4059",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J4059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5428691",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TID",
            "identifier": "74-2946869",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AJ410",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.