Provider Demographics
NPI:1215664602
Name:VALDES DENIS, ADALBERTO (APRN)
Entity type:Individual
Prefix:
First Name:ADALBERTO
Middle Name:
Last Name:VALDES DENIS
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8305 SW 152ND AVE APT A-408
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-4013
Mailing Address - Country:US
Mailing Address - Phone:863-660-8418
Mailing Address - Fax:
Practice Address - Street 1:8305 SW 152ND AVE APT A-408
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-4013
Practice Address - Country:US
Practice Address - Phone:863-660-8418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-04
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11021187363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care