Healthcare Provider Details

I. General information

NPI: 1770241572
Provider Name (Legal Business Name): YORDANYS VALDES APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2021
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MARQUETTE AVE NW STE 1200
ALBUQUERQUE NM
87102-5312
US

IV. Provider business mailing address

6538 W HANNA AVE
TAMPA FL
33634-4930
US

V. Phone/Fax

Practice location:
  • Phone: 505-307-5837
  • Fax: 727-630-2936
Mailing address:
  • Phone: 505-307-5837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11016807
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberPMH06250045
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: