Provider Demographics
NPI:1720827330
Name:VALDES NOVO, HILDA MARIA I
Entity type:Individual
Prefix:MISS
First Name:HILDA
Middle Name:MARIA
Last Name:VALDES NOVO
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5491 W 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-2549
Mailing Address - Country:US
Mailing Address - Phone:305-804-1035
Mailing Address - Fax:
Practice Address - Street 1:5491 W 7TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2549
Practice Address - Country:US
Practice Address - Phone:305-804-1035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1092581106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty