Healthcare Provider Details

I. General information

NPI: 1679891741
Provider Name (Legal Business Name): VALENTINA SALVAT GARCIA LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2010
Last Update Date: 10/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8600 NW 41ST ST
DORAL FL
33166-6202
US

IV. Provider business mailing address

11501 SW 40TH ST
MIAMI FL
33165-3313
US

V. Phone/Fax

Practice location:
  • Phone: 305-642-5366
  • Fax: 305-644-2530
Mailing address:
  • Phone: 305-642-5366
  • Fax: 305-644-2530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11004539
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License NumberND5713
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: