Provider Demographics
NPI:1982993879
Name:VALDES, PEDRO JOSE (DO)
Entity type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:JOSE
Last Name:VALDES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16425 COLLINS AVE
Mailing Address - Street 2:APARTMENT 2014
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4537
Mailing Address - Country:US
Mailing Address - Phone:305-978-9453
Mailing Address - Fax:
Practice Address - Street 1:7100 W 20TH AVE STE G166
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1805
Practice Address - Country:US
Practice Address - Phone:305-835-0551
Practice Address - Fax:305-696-7704
Is Sole Proprietor?:No
Enumeration Date:2011-03-31
Last Update Date:2019-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS11973207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology