NPIMap

Organization Active NPI

Val Verde Hospital Corporation

  • Surgery Physician
  • Del Rio, TX
National Provider Identifier
1730851585
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
VAL VERDE HOSPITAL CORPORATION
Practice address
801 N Bedell Ave
Del Rio, TX 78840-4112
Phone
(830) 775-8566
NPI assigned
Sep 30, 2021
Last updated
Sep 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Authorized official

Name
Jorge Jurado
Title
Clinic Administrator
Phone
(830) 768-4229

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU
Interventional Cardiology Physician 207RI0011X NU
Orthopaedic Surgery Physician 207X00000X NU
Psychiatry Physician 2084P0800X NU
Surgery Physician 208600000X NU Primary
Urology Physician 208800000X NU

Addresses

Primary practice location

801 N Bedell Ave
Del Rio, TX 78840-4112

Mailing address

801 N Bedell Ave
Del Rio, TX 78840-4112

Other practice location 1

1200 N Bedell Ave
Del Rio, TX 78840-4491
Phone (830) 774-2505

Other practice location 2

3809 Veterans Blvd
Del Rio, TX 78840-2860
Phone (830) 703-8555

Other practice location 3

108 Page Ave
Del Rio, TX 78840-4184
Phone (830) 778-3629

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041006001392 TX Part B Supplier - Clinic/Group Practice 0941112023 Receives reassigned benefits from 109 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Del Rio, TX

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-1702

Practitioners & affiliated clinicians

Practitioners 68

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.

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1730851585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N BEDELL AVE",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788404112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N BEDELL AVE",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788404112",
            "telephone_number": "830-775-8566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Bedell Ave",
            "address_purpose": "LOCATION",
            "city": "Del Rio",
            "state": "TX",
            "postal_code": "788404491",
            "country_code": "US",
            "telephone_number": "830-774-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3809 Veterans Blvd",
            "address_purpose": "LOCATION",
            "city": "Del Rio",
            "state": "TX",
            "postal_code": "788402860",
            "country_code": "US",
            "telephone_number": "830-703-8555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 Page Ave",
            "address_purpose": "LOCATION",
            "city": "Del Rio",
            "state": "TX",
            "postal_code": "788404184",
            "country_code": "US",
            "telephone_number": "830-778-3629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VAL VERDE HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "JURADO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "830-768-4229"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.