MEDICARE: VALLE DEL SOL, INC.

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	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1538033378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLE DEL SOL, INC.

Provider Business Mailing Address
First Line	:	3877 N 7TH ST STE 400
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-5061
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1430 E INDIAN SCHOOL RD STE 230
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-4991
Country	:	US
Telephone Number	:	602-258-6797
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF CONTRACTS & LICENSING
Name	:	REBECCA RAZO
Credential	:
Telephone Number	:	602-258-6797

Provider Enumeration Date	:	10/03/2025
Last Update Date	:	12/18/2025

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Directions to “VALLE DEL SOL, INC. ” Practice Location

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