Provider Demographics
NPI:1386745255
Name:VALLS, ARNALDO (MD)
Entity type:Individual
Prefix:DR
First Name:ARNALDO
Middle Name:
Last Name:VALLS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1084 SW 137TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-3022
Mailing Address - Country:US
Mailing Address - Phone:305-554-1277
Mailing Address - Fax:
Practice Address - Street 1:7295 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2503
Practice Address - Country:US
Practice Address - Phone:305-262-8875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82727208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE5789BMedicare ID - Type Unspecified
FLH41450Medicare UPIN