MEDICARE: A AND V MEDICAL CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician		FL
2	208000000X	Pediatrics Physician		FL

General Provider Information

NPI Number	:	1003881285
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A AND V MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	4445 WEST 16 AVE SUITE 505
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012
Country	:	US
Telephone Number	:	305-825-2258
Fax Number	:	305-825-2230

Provider Business Practice Location Address
First Line	:	4445 WEST 16 AVE SUITE 505
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012
Country	:	US
Telephone Number	:	305-825-2258
Fax Number	:	305-825-2230

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ARIEL VALVERDE
Credential	:	RMA
Telephone Number	:	786-553-0151

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	09/11/2025

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