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NPI Code Detail

MEDICARE: GERTRUDIS M. VALDEZ

MEDICARE:   GERTRUDIS M. VALDEZ
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
1171400000XHealth & Wellness Coach
2106S00000XBehavior Technician
3175T00000XPeer Specialist

General Provider Information

NPI Number : 1306793351
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERTRUDIS M. VALDEZ
Provider Business Mailing Address
First Line : 551 HUFFSTETLER DR
Second Line :
City : EUSTIS
State : FL
Zip : 32726-8220
Country : US
Telephone Number : 786-316-6345
Fax Number :
Provider Business Practice Location Address
First Line : 551 HUFFSTETLER DR
Second Line :
City : EUSTIS
State : FL
Zip : 32726-8220
Country : US
Telephone Number : 786-316-6345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2026
Last Update Date : 06/14/2026

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Directions to “ GERTRUDIS M. VALDEZ ” Practice Location

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