Provider Demographics
NPI:1104119270
Name:VALLE, ANAMARI P (LMT)
Entity type:Individual
Prefix:MRS
First Name:ANAMARI
Middle Name:P
Last Name:VALLE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7651 SW 67TH AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4527
Mailing Address - Country:US
Mailing Address - Phone:305-979-3889
Mailing Address - Fax:
Practice Address - Street 1:299 ALHAMBRA CIR
Practice Address - Street 2:SUITE 210
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5106
Practice Address - Country:US
Practice Address - Phone:786-534-5599
Practice Address - Fax:786-534-9644
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-24
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 38715225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist