Provider Demographics
NPI:1003537846
Name:VALADEZ, GERARDO JR (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:GERARDO
Middle Name:
Last Name:VALADEZ
Suffix:JR
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 RED ROSE ST
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-9315
Mailing Address - Country:US
Mailing Address - Phone:323-480-6396
Mailing Address - Fax:
Practice Address - Street 1:7135 EXPRESSWAY 77 N. FRONTAGE ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:OLMITO
Practice Address - State:TX
Practice Address - Zip Code:78575
Practice Address - Country:US
Practice Address - Phone:323-480-6396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist