Provider Demographics
NPI:1407601842
Name:VALERO RANGEL, REINALDO ANDREE (SONOGRAPHER)
Entity Type:Individual
Prefix:
First Name:REINALDO
Middle Name:ANDREE
Last Name:VALERO RANGEL
Suffix:
Gender:M
Credentials:SONOGRAPHER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 VALONA LOOP
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-3894
Mailing Address - Country:US
Mailing Address - Phone:513-836-1365
Mailing Address - Fax:
Practice Address - Street 1:208 VALONA LOOP
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-3894
Practice Address - Country:US
Practice Address - Phone:513-836-1365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-19
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2605292471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography