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NPI Code Detail

MEDICARE: MRS. MARIA TERESA VALDEZ M.H.R.S.

MEDICARE: MRS. MARIA TERESA VALDEZ M.H.R.S.
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1700947074
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIA TERESA VALDEZ M.H.R.S.
Provider Business Mailing Address
First Line : 482 W SAN YSIDRO BLVD
Second Line : 1535
City : SAN YSIDRO
State : CA
Zip : 92173-2444
Country : US
Telephone Number : 619-427-4661
Fax Number : 619-426-7849
Provider Business Practice Location Address
First Line : 1196 THIRD AVE
Second Line :
City : CHULA VISTA
State : CA
Zip : 91911-3131
Country : US
Telephone Number : 619-427-4661
Fax Number : 619-426-7849
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 03/27/2025

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