Healthcare Provider Details

I. General information

NPI: 1962851725
Provider Name (Legal Business Name): VERONICA VALDES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2016
Last Update Date: 04/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9324 W 33RD AVE
HIALEAH FL
33018-2065
US

IV. Provider business mailing address

9324 W 33RD AVE
HIALEAH FL
33018-2065
US

V. Phone/Fax

Practice location:
  • Phone: 407-860-1845
  • Fax:
Mailing address:
  • Phone: 407-860-1845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: