Healthcare Provider Details

I. General information

NPI: 1225139942
Provider Name (Legal Business Name): VALLEY RETINA INSTITUTE P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 E RIDGE RD STE 1
MCALLEN TX
78503-1518
US

IV. Provider business mailing address

PO BOX 4830
EDINBURG TX
78540-4830
US

V. Phone/Fax

Practice location:
  • Phone: 956-631-8875
  • Fax: 956-682-6280
Mailing address:
  • Phone: 956-631-8875
  • Fax: 956-683-1502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberJ6115
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. VICTOR HUGO GONZALEZ
Title or Position: OWNER
Credential: MD
Phone: 956-631-8875