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NPI Code Detail

MEDICARE: DR. IVETTE VALLE M.D.

MEDICARE: DR. IVETTE VALLE M.D.
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
1208000000XPediatrics PhysicianME94751FL
2208D00000XGeneral Practice PhysicianME94751FL

General Provider Information

NPI Number : 1831197623
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IVETTE VALLE M.D.
Provider Business Mailing Address
First Line : 1435 W 49TH PL
Second Line : SUITE 400A
City : HIALEAH
State : FL
Zip : 33012-3197
Country : US
Telephone Number : 305-818-5637
Fax Number : 305-818-5639
Provider Business Practice Location Address
First Line : 1435 W 49TH PL
Second Line : SUITE 400A
City : HIALEAH
State : FL
Zip : 33012-3197
Country : US
Telephone Number : 305-818-5637
Fax Number : 305-818-5639
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 04/15/2014

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Directions to “ DR. IVETTE VALLE M.D.” Practice Location

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