Healthcare Provider Details

I. General information

NPI: 1326972548
Provider Name (Legal Business Name): VALENS MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 SW 117TH AVE STE 112
MIAMI FL
33183-4825
US

IV. Provider business mailing address

8200 SW 117TH AVE STE 112
MIAMI FL
33183-4825
US

V. Phone/Fax

Practice location:
  • Phone: 305-458-4156
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. LUIS PENATE
Title or Position: OWNER
Credential: MD
Phone: 305-458-4156