Provider Demographics
NPI:1316500382
Name:VALLES, MONICA RIOS (LVN)
Entity type:Individual
Prefix:MISS
First Name:MONICA
Middle Name:RIOS
Last Name:VALLES
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:559 DIAZ ST
Mailing Address - Street 2:
Mailing Address - City:UVALDE
Mailing Address - State:TX
Mailing Address - Zip Code:78801-5875
Mailing Address - Country:US
Mailing Address - Phone:210-240-2181
Mailing Address - Fax:
Practice Address - Street 1:559 DIAZ ST
Practice Address - Street 2:
Practice Address - City:UVALDE
Practice Address - State:TX
Practice Address - Zip Code:78801-5875
Practice Address - Country:US
Practice Address - Phone:210-240-2181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-16
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX216913164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse