Provider Demographics
NPI:1922395946
Name:VALDEZ, SYLVIA MARTINEZ (RN)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:MARTINEZ
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:SYLVIA
Other - Middle Name:FLORES
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:911 W OLD US HWY 90
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78237-2637
Mailing Address - Country:US
Mailing Address - Phone:210-644-8050
Mailing Address - Fax:210-644-8075
Practice Address - Street 1:911 W OLD US HWY 90
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78237-2637
Practice Address - Country:US
Practice Address - Phone:210-644-8050
Practice Address - Fax:210-644-8075
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX643253163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse