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NPI 1740751718

NPI 1740751718 : E VALDES MEDICAL SERVICES CORP : HIALEAH, FL

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General NPI Number Information
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    NPI Number           |    1740751718
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    Entity Type          |    Organization 
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    Legal Business Name  |    E VALDES MEDICAL SERVICES CORP 
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Dates
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    Enumeration Date     |    12/16/2018
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    Last Update Date     |    01/21/2026
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Provider Practice Location Address
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    Address Line         |    2150 W 76TH ST STE 117 
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    City                 |    HIALEAH
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    State                |    FL
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    Zip                  |    33016-1887
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    Country              |    US
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    Telephone            |    786-636-6952
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    Fax                  |    786-391-2357
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Provider Business Mailing Address
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    Address Line         |    2150 W 76TH ST STE 117 
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    City                 |    HIALEAH
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    State                |    FL
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    Zip                  |    33016-1887
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    Country              |    US
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    Telephone            |    786-636-6952
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    Fax                  |    786-391-2357
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Authorized Official
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    Title or Position    |    ARNP/PRESIDENT
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    Name                 |     ELIZABETH  VALDES 
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    Credential           |    NP
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    Telephone            |    786-338-3675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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