MEDICARE: MISS MARIA T VALDES MD

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	207RG0100X	Gastroenterology Physician	205635-1	NY
2	207RG0100X	Gastroenterology Physician	ME72022	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	16159V	OTHER	FL	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902890809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MARIA T VALDES MD

Provider Business Mailing Address
First Line	:	6101 PINE RIDGE RD
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-3900
Country	:	US
Telephone Number	:	239-348-4509
Fax Number	:	239-348-4529

Provider Business Practice Location Address
First Line	:	6101 PINE RIDGE RD
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-3900
Country	:	US
Telephone Number	:	239-348-4509
Fax Number	:	239-348-4529

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

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	09/23/2020

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Directions to “ MISS MARIA T VALDES MD” Practice Location

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