Provider Demographics
NPI:1285479154
Name:FLORENTINO VALDES, ALICIA DE LAS NIEVES (SPLA)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:DE LAS NIEVES
Last Name:FLORENTINO VALDES
Suffix:
Gender:F
Credentials:SPLA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15305 SW 73RD TERRACE CIR APT 5
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-1762
Mailing Address - Country:US
Mailing Address - Phone:470-469-2602
Mailing Address - Fax:
Practice Address - Street 1:1830 NW 7TH ST STE 224
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-3562
Practice Address - Country:US
Practice Address - Phone:786-558-4207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSL6713235Z00000X
FLSI6713235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist