Provider Demographics
NPI:1578436929
Name:PERDOMO VALDES, DARIAN
Entity type:Individual
Prefix:
First Name:DARIAN
Middle Name:
Last Name:PERDOMO VALDES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6190 W 19TH AVE APT 215
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-6075
Mailing Address - Country:US
Mailing Address - Phone:786-992-4468
Mailing Address - Fax:
Practice Address - Street 1:6190 W 19TH AVE APT 215
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-6075
Practice Address - Country:US
Practice Address - Phone:786-992-4468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty