Healthcare Provider Details

I. General information

NPI: 1881514719
Provider Name (Legal Business Name): MIRIELA VALDES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MIRIELA VALDES FNP

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18898 SW 127TH AVE
QUAIL HEIGHTS FL
33177-3003
US

IV. Provider business mailing address

18898 SW 127TH AVE
QUAIL HEIGHTS FL
33177-3003
US

V. Phone/Fax

Practice location:
  • Phone: 786-306-9025
  • Fax:
Mailing address:
  • Phone: 786-306-9025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number11048895
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: