MEDICARE: DR. MARIO ARMANDO VALDES PT, DPT

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	225100000X	Physical Therapist	PT36513	FL

General Provider Information

NPI Number	:	1770991457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIO ARMANDO VALDES PT, DPT

Provider Business Mailing Address
First Line	:	10710 SW 126TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-3747
Country	:	US
Telephone Number	:	786-423-5755
Fax Number	:

Provider Business Practice Location Address
First Line	:	8024 SW 81ST DRIVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-4548
Country	:	US
Telephone Number	:	786-432-9242
Fax Number	:

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

Provider Enumeration Date	:	07/26/2014
Last Update Date	:	09/15/2025

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