Provider Demographics
NPI:1235438227
Name:MARIA V ROEL
Entity Type:Organization
Organization Name:MARIA V ROEL
Other - Org Name:KIDDO'S REHAB, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:V
Authorized Official - Last Name:ROEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-271-1522
Mailing Address - Street 1:213 YELLOWHAMMER AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-1622
Mailing Address - Country:US
Mailing Address - Phone:956-271-1522
Mailing Address - Fax:956-271-1523
Practice Address - Street 1:8115 N LOS EBANOS RD
Practice Address - Street 2:STE 4
Practice Address - City:ALTON
Practice Address - State:TX
Practice Address - Zip Code:78573-0000
Practice Address - Country:US
Practice Address - Phone:956-271-1522
Practice Address - Fax:956-271-1523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-16
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation