Valles & Associates Rehabilitation Services Inc | |
12600 Sw 120th St Suite 109 Miami FL 33186 | |
(305) 233-7035 | |
(786) 292-2842 |
Full Name | Valles & Associates Rehabilitation Services Inc |
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Speciality | Family Medicine |
Location | 12600 Sw 120th St, Miami, Florida |
Authorized Official Name and Position | Juan I Valles (PRESIDENT/OWNER) |
Authorized Official Contact | 3052337035 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Valles & Associates Rehabilitation Services Inc 12600 Sw 120th St Suite 109 Miami FL 33186 Ph: (305) 233-7035 | Valles & Associates Rehabilitation Services Inc 12600 Sw 120th St Suite 109 Miami FL 33186 Ph: (305) 233-7035 |
NPI Number | 1487755385 |
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Provider Enumeration Date | 09/26/2006 |
Last Update Date | 04/03/2023 |
Medicare PECOS PAC ID | 2567567944 |
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Medicare Enrollment ID | O20070412000574 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487755385 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | HCC3666 (Florida) | Primary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
Provider Name | Keith R Gould |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285659607 PECOS PAC ID: 9830180108 Enrollment ID: I20040524001283 |
Provider Name | Laura Castroviejo |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619216561 PECOS PAC ID: 3678712650 Enrollment ID: I20130624000443 |
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