Healthcare Provider Details

I. General information

NPI: 1053357780
Provider Name (Legal Business Name): SANDRA VALENCIA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SANDRA MALDONADO

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 05/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8950 N KENDALL DR SUITE 601
MIAMI FL
33176-2144
US

IV. Provider business mailing address

8900 N KENDALL DR
MIAMI FL
33176-2118
US

V. Phone/Fax

Practice location:
  • Phone: 305-279-4500
  • Fax: 305-598-1741
Mailing address:
  • Phone: 786-596-1960
  • Fax: 786-596-1960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9166748
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: