Provider Demographics
NPI:1003640905
Name:RIVERA VILLARREAL, VALARIE MONIQUE (AUD)
Entity type:Individual
Prefix:
First Name:VALARIE
Middle Name:MONIQUE
Last Name:RIVERA VILLARREAL
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2819 S ROSARY ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78203-1359
Mailing Address - Country:US
Mailing Address - Phone:210-887-4474
Mailing Address - Fax:
Practice Address - Street 1:645 WOODLAND OAKS DR STE 350
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-2889
Practice Address - Country:US
Practice Address - Phone:210-819-5002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81635237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter