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NPI Code Detail

MEDICARE: JAYLER VALDES HECHEVARRIA ARNP

MEDICARE: JAYLER VALDES HECHEVARRIA 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 PractitionerARNP-9338953FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ARNP-9338953OTHERFLPROFESSIONAL LICENSE

General Provider Information

NPI Number : 1972924819
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYLER VALDES HECHEVARRIA ARNP
Provider Business Mailing Address
First Line : 11255 SW 211TH ST
Second Line : AMERICAN CARE OF SOUTH FLORIDA, INC.
City : MIAMI
State : FL
Zip : 33189-2240
Country : US
Telephone Number : 305-278-0200
Fax Number : 786-235-0145
Provider Business Practice Location Address
First Line : 149 W 21ST ST
Second Line :
City : HIALEAH
State : FL
Zip : 33010-2615
Country : US
Telephone Number : 305-558-0765
Fax Number : 786-219-4355
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2013
Last Update Date : 12/19/2024

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