| Brian Valle Do Pllc | |
|
7100 W 20th Ave Ste G166 Hialeah FL 33016-1805 | |
| (605) 835-0551 | |
| (305) 696-7704 |
| Full Name | Brian Valle Do Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7100 W 20th Ave Ste G166, Hialeah, Florida |
| Authorized Official Name and Position | Brian Valle (SOLE MBR) |
| Authorized Official Contact | 3057906267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Valle Do Pllc 10811 Nw 7th St Apt 14 Miami FL 33172-3795 Ph: (305) 790-6267 | Brian Valle Do Pllc 7100 W 20th Ave Ste G166 Hialeah FL 33016-1805 Ph: (605) 835-0551 |
| NPI Number | 1457025652 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 08/03/2021 |
| Medicare PECOS PAC ID | 5799183638 |
|---|---|
| Medicare Enrollment ID | O20211007001735 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457025652 | NPI | - | NPPES |
| 021242800 | Medicaid | FL |
| Provider Name | Brian Valle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992016497 PECOS PAC ID: 4688995210 Enrollment ID: I20150608000766 |
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