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General NPI Number Information
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NPI Number | 1700752938
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Entity Type | Organization
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Legal Business Name | RENE A VALIENTE LLC
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 2645 SW 37TH AVE STE 505
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City | CORAL GABLES
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State | FL
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Zip | 33133-2745
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Country | US
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Telephone | 786-382-7054
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 160202
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City | MIAMI
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State | FL
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Zip | 33116-0202
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RENE ALBERTO VALIENTE
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Credential | MHS, PA-C
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Telephone | 786-382-7054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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