Ruddy Valdes, DO | |
524 W Sagamore Ave, Clewiston, FL 33440-3514 | |
(954) 615-7179 | |
Not Available |
Full Name | Ruddy Valdes |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 524 W Sagamore Ave, Clewiston, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245210756 | NPI | - | NPPES |
258468900 | Medicaid | FL | |
49814 | Other | FL | BCBS |
P0007985 | Other | FL | RRMCR |
003267157A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | OS0007985 (Florida) | Primary |
Entity Name | Small Hospital Innovations |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184040560 PECOS PAC ID: 0840415444 Enrollment ID: O20140715000513 |
Entity Name | Shi Keys Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952903536 PECOS PAC ID: 2163835513 Enrollment ID: O20210105000345 |
Mailing Address | Practice Location Address |
---|---|
Ruddy Valdes, DO 3600 Red Rd Ste 401, Miramar, FL 33025-6014 Ph: (786) 457-4900 | Ruddy Valdes, DO 524 W Sagamore Ave, Clewiston, FL 33440-3514 Ph: (954) 615-7179 |
Dr. Aaisya Nabeehah Ansari, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 524 W Sagamore Ave, Clewiston, FL 33440 Phone: 863-983-9121 | |
Dr. Sonia Marie Maddalena, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 W Sugarland Hwy, Clewiston, FL 33440 Phone: 863-983-2227 | |
Dr. Robert R Dunn, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 524 W Sagamore Ave, Clewiston, FL 33440 Phone: 863-983-2227 | |
Anthony R Marks, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 524 W Sagamore Ave, Clewiston, FL 33440 Phone: 863-902-3000 |