Healthcare Provider Details

I. General information

NPI: 1730362294
Provider Name (Legal Business Name): BORDER REGION MHMR COMMUNITY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2007
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 PAPPAS ST
LAREDO TX
78041-1701
US

IV. Provider business mailing address

PO BOX 1835
LAREDO TX
78044-1835
US

V. Phone/Fax

Practice location:
  • Phone: 956-794-3000
  • Fax:
Mailing address:
  • Phone: 956-794-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DENIO RONDON VALDEZ
Title or Position: CHIEF FINANCIAL OFFICIER
Credential:
Phone: 956-794-3029