Provider Demographics
NPI:1326513904
Name:EXPOSITO VALDES, ANAISY CARIDAD
Entity type:Individual
Prefix:
First Name:ANAISY
Middle Name:CARIDAD
Last Name:EXPOSITO VALDES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17360 NW 52ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-4013
Mailing Address - Country:US
Mailing Address - Phone:786-768-0435
Mailing Address - Fax:
Practice Address - Street 1:17360 NW 52ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33055-4013
Practice Address - Country:US
Practice Address - Phone:786-768-0435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-10
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF01250975363LF0000X
FLCBHCM100450171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No171M00000XOther Service ProvidersCase Manager/Care Coordinator