Provider Demographics
NPI:1679395081
Name:VALLADARES HEALTH SERVICES INC
Entity type:Organization
Organization Name:VALLADARES HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLADARES
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-800-4567
Mailing Address - Street 1:16321 SW 76TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-3446
Mailing Address - Country:US
Mailing Address - Phone:786-800-4567
Mailing Address - Fax:786-800-4567
Practice Address - Street 1:16321 SW 76TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-3446
Practice Address - Country:US
Practice Address - Phone:786-800-4567
Practice Address - Fax:786-800-4567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty