Provider Demographics
NPI:1043029739
Name:VALLEY INFECTIOUS DISEASES SPECIALISTS PLLC
Entity type:Organization
Organization Name:VALLEY INFECTIOUS DISEASES SPECIALISTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LIA
Authorized Official - Middle Name:P
Authorized Official - Last Name:SUAZO HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-249-0318
Mailing Address - Street 1:PO BOX 2676
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-2676
Mailing Address - Country:US
Mailing Address - Phone:956-249-0318
Mailing Address - Fax:956-513-0494
Practice Address - Street 1:2108 S M ST STE 9
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1556
Practice Address - Country:US
Practice Address - Phone:956-249-0318
Practice Address - Fax:956-513-0494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty