| E Valdes Medical Services Corp | |
|
7600 W 20th Ave Ste 102 Hialeah FL 33016-1895 | |
| (786) 636-6952 | |
| Not Available |
| Full Name | E Valdes Medical Services Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 7600 W 20th Ave Ste 102, Hialeah, Florida |
| Authorized Official Name and Position | Elizabeth Valdes (ARNP/PRESIDENT) |
| Authorized Official Contact | 7863383675 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E Valdes Medical Services Corp 7600 W 20th Ave Ste 102 Hialeah FL 33016-1895 Ph: (786) 636-6952 | E Valdes Medical Services Corp 7600 W 20th Ave Ste 102 Hialeah FL 33016-1895 Ph: (786) 636-6952 |
| NPI Number | 1740751718 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 12/16/2018 |
| Medicare PECOS PAC ID | 6901146265 |
|---|---|
| Medicare Enrollment ID | O20190322001601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740751718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Valdes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164963039 PECOS PAC ID: 4082989009 Enrollment ID: I20171002000846 |
| Provider Name | Carlos Bacallao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043736176 PECOS PAC ID: 9537498472 Enrollment ID: I20190903000700 |
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