Provider Demographics
NPI:1700075876
Name:DIAS DE ALEGRIA ADC
Entity Type:Organization
Organization Name:DIAS DE ALEGRIA ADC
Other - Org Name:NANCY ANAYA VALDEZ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RN/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:ANAYA
Authorized Official - Last Name:VALDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-843-4900
Mailing Address - Street 1:1910 N INTERNATIONAL BLVD
Mailing Address - Street 2:STE2
Mailing Address - City:HIDALGO
Mailing Address - State:TX
Mailing Address - Zip Code:78557-2550
Mailing Address - Country:US
Mailing Address - Phone:956-843-4900
Mailing Address - Fax:956-843-8203
Practice Address - Street 1:1910 N INTERNATIONAL BLVD
Practice Address - Street 2:STE2
Practice Address - City:HIDALGO
Practice Address - State:TX
Practice Address - Zip Code:78557-2550
Practice Address - Country:US
Practice Address - Phone:956-843-4900
Practice Address - Fax:956-843-8203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1086137261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========Medicaid