| Felipe Antonio Del Valle Md Pa | |
|
2350 Sw 84th Ave Miami FL 33155-1160 | |
| (786) 263-0527 | |
| (786) 263-0529 |
| Full Name | Felipe Antonio Del Valle Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2350 Sw 84th Ave, Miami, Florida |
| Authorized Official Name and Position | Felipe Antonio Del Valle (OWNER) |
| Authorized Official Contact | 7862630527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Felipe Antonio Del Valle Md Pa 2350 Sw 84th Ave Miami FL 33155-1160 Ph: (786) 263-0527 | Felipe Antonio Del Valle Md Pa 2350 Sw 84th Ave Miami FL 33155-1160 Ph: (786) 263-0527 |
| NPI Number | 1922141852 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 03/02/2022 |
| Medicare PECOS PAC ID | 3173698990 |
|---|---|
| Medicare Enrollment ID | O20080813000566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922141852 | NPI | - | NPPES |
| 061432700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME50226 (Florida) | Primary |
| Provider Name | Felipe Antonio Del Valle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174508717 PECOS PAC ID: 0042274763 Enrollment ID: I20041116000838 |
| Provider Name | Leydi Carballo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962871954 PECOS PAC ID: 3779884960 Enrollment ID: I20151211001891 |
| Provider Name | Shelby N Mayoral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033769724 PECOS PAC ID: 9234562232 Enrollment ID: I20191205001111 |
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