MEDICARE: RENE A VALIENTE MHS, PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	PA9101459	FL

General Provider Information

NPI Number	:	1003965302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENE A VALIENTE MHS, PA-C

Provider Business Mailing Address
First Line	:	15415 SW 99TH LN
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-3815
Country	:	US
Telephone Number	:	305-740-9083
Fax Number	:

Provider Business Practice Location Address
First Line	:	2750 SW 37TH AVE
Second Line	:
City	:	COCONUT GROVE
State	:	FL
Zip	:	33133-2764
Country	:	US
Telephone Number	:	305-361-8200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	10/14/2025

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