Healthcare Provider Details

I. General information

NPI: 1285558759
Provider Name (Legal Business Name): CLAUDIA VALLADARES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20005 VERDANA VILLAGE BLVD
ESTERO FL
33928-9824
US

IV. Provider business mailing address

6725 SW 129TH CT
MIAMI FL
33183-1303
US

V. Phone/Fax

Practice location:
  • Phone: 305-798-0864
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN32298
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: