NPIMap

Individual provider Active NPI

Veronica Guel-Valdivia, MD

  • Family Medicine Physician
  • Victoria, TX
National Provider Identifier
1821056102
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L5349 Issued in TX
Practice address
102 Springwood Drive
Victoria, TX 77904-3111
Phone
(361) 576-2222
Fax
(361) 580-4108
NPI assigned
May 3, 2006
Last updated
Mar 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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 L5349 TX Primary

Addresses

Primary practice location

102 Springwood Drive
Victoria, TX 77904-3111

Mailing address

102 Springwood Drive
Victoria, TX 77904-3111
Phone (361) 576-2222

Other identifiers 5

IdentifierTypeStateIssuer
157896502MedicaidTX
157896501MedicaidTX
7043457OtherTXAETNA
8B7567OtherTXBLUE CROSS
8J2010OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100324000785 TX Practitioner - Family Practice 8820193188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Regional Health Center LLPGroup PAC ID 3870493083, 6 clinicians

Practice addresses (Care Compare)

102 Springwood Dr
Victoria, TX 77904-3501
Phone (361) 576-2222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L5349TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Regional Health Center LLP Family Medicine CurrentSince Jul 13, 2003 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Victoria of Texas LP Past Accepting new patients

Locations

101 Medical Dr
Victoria, TX 77904
Phone (361) 573-6100

102 Springwood Dr
Victoria, TX 77904
Phone (361) 576-2222

202 James Coleman Dr
Ste C
Victoria, TX 77904
Phone (361) 576-2222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDHIAA
  • Direct secure messaging: veronica.guelvaldivia@arhc.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1821056102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SPRINGWOOD DRIVE",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043111",
            "telephone_number": "361-576-2222",
            "fax_number": "361-580-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SPRINGWOOD DRIVE",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043111",
            "telephone_number": "361-576-2222",
            "fax_number": "361-580-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEL-VALDIVIA",
        "first_name": "VERONICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L5349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157896502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157896501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7043457",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8B7567",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8J2010",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.