Provider Demographics
NPI:1104796549
Name:VUELA THERAPEUTIC SPECIALISTS, PLLC
Entity type:Organization
Organization Name:VUELA THERAPEUTIC SPECIALISTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OTR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DORALI
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:956-467-8252
Mailing Address - Street 1:3408 NORTHERN LIGHTS AVE
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78541-4462
Mailing Address - Country:US
Mailing Address - Phone:956-467-8252
Mailing Address - Fax:956-474-9770
Practice Address - Street 1:1612 PECAN BLVD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-4215
Practice Address - Country:US
Practice Address - Phone:956-467-8252
Practice Address - Fax:956-467-8252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-10
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty