Individual ProviderFernando ValdezFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address448 Castroville Rd, San Antonio, TX 78207-5147(210) 434-1400PECOS EnrollmentBased on the most recent information from CMS, provider Fernando Valdez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1588608558Provider TypeIndividualFull NameValdez, FernandoCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date6/16/2006Last Updated1/28/2019Contact InformationPractice LocationPractice Address448 Castroville Rd, San Antonio, TX 78207-5147Phone(210) 434-1400Fax(210) 431-7472Mailing LocationMailing Address448 Castroville Rd, San Antonio, TX 78207-5147Phone(210) 434-1400Fax(210) 431-7472Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseL7630TexasProvider IdentifiersIDDescriptionIssuerID168188405DescriptionOtherIssuerWELLMED MEDICAIDTexasIDTXB117820DescriptionOtherIssuerWELLMED MEDICARETexas