Healthcare Provider Details

I. General information

NPI: 1932026432
Provider Name (Legal Business Name): MARIA CECILIA VALENZUELA CANETE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 NW WESLEY RD
PORT ST LUCIE FL
34986-4201
US

IV. Provider business mailing address

5600 NW WESLEY RD
PORT ST LUCIE FL
34986-4201
US

V. Phone/Fax

Practice location:
  • Phone: 772-722-9537
  • Fax:
Mailing address:
  • Phone: 772-722-9537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberPT41094
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: