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NPI Code Detail

MEDICARE: MAYULY VALDES HERNANDEZ ARNP

MEDICARE: MAYULY VALDES HERNANDEZ ARNP
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
1363LF0000XFamily Nurse Practitioner9389094FL
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN9389094FL

General Provider Information

NPI Number : 1326551847
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYULY VALDES HERNANDEZ ARNP
Provider Business Mailing Address
First Line : 6355 SW 136TH CT APT J103
Second Line :
City : MIAMI
State : FL
Zip : 33183-5046
Country : US
Telephone Number : 786-445-4078
Fax Number :
Provider Business Practice Location Address
First Line : 1905 NW 82ND AVE
Second Line :
City : DORAL
State : FL
Zip : 33126-1011
Country : US
Telephone Number : 786-420-5924
Fax Number : 786-542-5340
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2017
Last Update Date : 03/16/2020

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