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NPI Code Detail

MEDICARE: MR. JOSE RAMON VALIENTE RPH,CPH

MEDICARE: MR. JOSE RAMON VALIENTE RPH,CPH
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
1183500000XPharmacistPS19867FL

General Provider Information

NPI Number : 1891709580
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSE RAMON VALIENTE RPH,CPH
Provider Business Mailing Address
First Line : 2000 SW 139TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33175-8009
Country : US
Telephone Number : 305-221-5003
Fax Number :
Provider Business Practice Location Address
First Line : 2500 NW 22ND AVE
Second Line :
City : MIAMI
State : FL
Zip : 33142-8429
Country : US
Telephone Number : 786-466-3000
Fax Number : 305-638-6880
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 07/08/2007

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