MEDICARE: UN DIA A LA VEZ PROVIDER SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1326889262
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UN DIA A LA VEZ PROVIDER SERVICES LLC

Provider Business Mailing Address
First Line	:	3501 DEL NORTE
Second Line	:
City	:	MISSION
State	:	TX
Zip	:	78574-8686
Country	:	US
Telephone Number	:	956-271-4022
Fax Number	:

Provider Business Practice Location Address
First Line	:	3501 DEL NORTE
Second Line	:
City	:	MISSION
State	:	TX
Zip	:	78574-8686
Country	:	US
Telephone Number	:	956-271-4022
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GRISELLE RIOS
Credential	:
Telephone Number	:	956-271-4022

Provider Enumeration Date	:	06/04/2024
Last Update Date	:	06/10/2026

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Directions to “UN DIA A LA VEZ PROVIDER SERVICES LLC ” Practice Location

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