MEDICARE: LAURA BEATRIZ VALDES HERRERA

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	106S00000X	Behavior Technician	RBT-21-151048	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215681457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA BEATRIZ VALDES HERRERA

Provider Business Mailing Address
First Line	:	511 MARBY RD
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33936-7557
Country	:	US
Telephone Number	:	786-556-0416
Fax Number	:

Provider Business Practice Location Address
First Line	:	511 MARBY RD
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33936-7557
Country	:	US
Telephone Number	:	786-556-0416
Fax Number	:

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

Provider Enumeration Date	:	02/07/2022
Last Update Date	:	03/05/2026

Similar Medicare Providers

1710548755 — SAUL ALEJANDRO WUECH
Practice Location Address:

1021 ANZA AVE
LEHIGH ACRES, FL
33971-7557

Practice Phone: 786-457-1861
Practice Fax:

1518756212 — GILDA D MORENO LOPEZ
Practice Location Address:

1432 GRAHAM CIR
LEHIGH ACRES, FL
33936-1110

Practice Phone: 305-390-2369
Practice Fax:

1114356128 — JESUS HERNANDEZ
Practice Location Address:

315 HAZELWOOD AVE S
LEHIGH ACRES, FL
33936-5803

Practice Phone: 135-168-0538
Practice Fax:

1528997707 — SHAVON CALIN NATHAN
Practice Location Address:

1432 GRAHAM CIR
LEHIGH ACRES, FL
33936-1110

Practice Phone: 305-390-2369
Practice Fax:

1841137387 — ADRIANA BADOSA MOREJON
Practice Location Address:

25 HOMESTEAD RD N STE 41
LEHIGH ACRES, FL
33936-6600

Practice Phone: 305-491-3494
Practice Fax:

1689672602 — PERSONAL FAMILY HEALTH CARE
Practice Location Address:

391 LEE BLVD , 400
LEHIGH ACRES, FL
33936-4973

Practice Phone: 239-369-2226
Practice Fax: 239-369-5820

Directions to “ LAURA BEATRIZ VALDES HERRERA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.