Healthcare Provider Details

I. General information

NPI: 1073856928
Provider Name (Legal Business Name): VALERIE C VALERIO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VALERIE C UQUILLAS

II. Dates (important events)

Enumeration Date: 03/28/2013
Last Update Date: 08/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11760 SW 40TH ST STE 352
MIAMI FL
33175-3595
US

IV. Provider business mailing address

3801 BISCAYNE BLVD STE 300
MIAMI FL
33137-9800
US

V. Phone/Fax

Practice location:
  • Phone: 305-552-1005
  • Fax: 305-552-1035
Mailing address:
  • Phone: 305-571-0620
  • Fax: 305-576-8099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN9496467
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: