=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801095815
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A BETTER HEARING OF MIAMI BEACH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/11/2007
-----------------------------------------------------
Last Update Date | 07/08/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3425 COLLINS AVE VERSAILLES HOTEL SUITE C-3
-----------------------------------------------------
City | MIAMI BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33140-4005
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-531-0606
-----------------------------------------------------
Fax | 305-531-0650
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3425 COLLINS AVENUE VERSAILLES HOTEL COND. SUITE C-3
-----------------------------------------------------
City | MIAMI BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33140
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-531-0606
-----------------------------------------------------
Fax | 305-531-0650
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. LUIS M. VALDES
-----------------------------------------------------
Credential | 8191966
-----------------------------------------------------
Telephone | 305-531-0606
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 237700000X
-----------------------------------------------------
Taxonomy Name | Hearing Instrument Specialist
-----------------------------------------------------
License Number | AS2703
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------