MEDICARE: YASNIEL VALDES

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	163WE0003X	Emergency Registered Nurse	9386555	FL
2	363LA2100X	Acute Care Nurse Practitioner	11022758	FL

General Provider Information

NPI Number	:	1154038297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YASNIEL VALDES

Provider Business Mailing Address
First Line	:	11259 NW 88TH AVE
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-4530
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11259 NW 88TH AVE
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-4530
Country	:	US
Telephone Number	:	786-325-6638
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2022
Last Update Date	:	10/28/2022

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Directions to “ YASNIEL VALDES ” Practice Location

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