Healthcare Provider Details

I. General information

NPI: 1306405840
Provider Name (Legal Business Name): CHAVELY VALDES SANCHEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2019
Last Update Date: 05/17/2024
Certification Date: 05/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 NW 14TH ST
MIAMI FL
33136-2107
US

IV. Provider business mailing address

747 PONCE DE LEON BLVD STE 605
CORAL GABLES FL
33134-2074
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-3583
  • Fax:
Mailing address:
  • Phone: 305-445-4535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME166224
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: