Provider Demographics
NPI:1306296405
Name:VALDEZ, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BELLA ESPERANZA
Other - Middle Name:
Other - Last Name:ADULT DAYCARE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5145 OLD ESCOBARES HIGHWAY 83
Mailing Address - Street 2:
Mailing Address - City:ROMA
Mailing Address - State:TX
Mailing Address - Zip Code:78584-5824
Mailing Address - Country:US
Mailing Address - Phone:956-847-1077
Mailing Address - Fax:956-847-1078
Practice Address - Street 1:5145 OLD ESCOBARES HIGHWAY 83
Practice Address - Street 2:
Practice Address - City:ROMA
Practice Address - State:TX
Practice Address - Zip Code:78584-5824
Practice Address - Country:US
Practice Address - Phone:956-298-0043
Practice Address - Fax:956-849-5676
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-20
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX147543261QA0600X
261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX106828OtherDAHS VENDOR ID
TX812515238Medicaid