MEDICARE: MARIA DEL CARMEN VALDES MD PA

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	208D00000X	General Practice Physician	ME77937	FL

General Provider Information

NPI Number	:	1063461762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARIA DEL CARMEN VALDES MD PA

Provider Business Mailing Address
First Line	:	9774 SW 24TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-7574
Country	:	US
Telephone Number	:	305-220-3600
Fax Number	:	305-220-8191

Provider Business Practice Location Address
First Line	:	8240 SW 95TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-2447
Country	:	US
Telephone Number	:	305-220-3600
Fax Number	:	305-220-8191

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MARIA DEL CARMEN VALDES
Credential	:	MD
Telephone Number	:	305-220-3600

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	04/29/2008

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