Healthcare Provider Details

I. General information

NPI: 1215288154
Provider Name (Legal Business Name): NPMC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2012
Last Update Date: 10/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2660 SW 3RD ST
MIAMI FL
33135-1415
US

IV. Provider business mailing address

2660 SW 3RD ST
MIAMI FL
33135-1415
US

V. Phone/Fax

Practice location:
  • Phone: 786-291-1005
  • Fax: 305-541-4644
Mailing address:
  • Phone: 786-291-1005
  • Fax: 305-541-4644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0002X
TaxonomyObesity Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSE G VALLADARES
Title or Position: PRESIDENT
Credential: MD
Phone: 786-281-1005