Provider Demographics
NPI:1992399141
Name:VALDES, ILAINY CARIDAD (ARNP)
Entity type:Individual
Prefix:
First Name:ILAINY
Middle Name:CARIDAD
Last Name:VALDES
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2266 NW 99TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-2138
Mailing Address - Country:US
Mailing Address - Phone:305-763-0497
Mailing Address - Fax:
Practice Address - Street 1:3000 BISCAYNE BLVD MIAMI FL 33137
Practice Address - Street 2:SUITE 216
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-2138
Practice Address - Country:US
Practice Address - Phone:305-763-0497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-26
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9431376163W00000X
FL101010544363LF0000X
FLAPRN11010544363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11010544OtherAPRN