Provider Demographics
NPI:1982423810
Name:DIAZ VALDES, YULEYVIS
Entity type:Individual
Prefix:
First Name:YULEYVIS
Middle Name:
Last Name:DIAZ VALDES
Suffix:
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 1:10012 SW 20TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-7402
Mailing Address - Country:US
Mailing Address - Phone:786-443-4825
Mailing Address - Fax:
Practice Address - Street 1:10012 SW 20TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-7402
Practice Address - Country:US
Practice Address - Phone:786-443-4825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker