Healthcare Provider Details

I. General information

NPI: 1962977629
Provider Name (Legal Business Name): YERMA VALDES GONZALEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2018
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8650 CORAL WAY
MIAMI FL
33155-2338
US

IV. Provider business mailing address

22901 SW 154TH AVE
MIAMI FL
33170-6941
US

V. Phone/Fax

Practice location:
  • Phone: 305-539-0599
  • Fax: 305-560-5583
Mailing address:
  • Phone: 305-510-1471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11000275
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11000275
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: