Provider Demographics
NPI:1043699481
Name:HORTENSIA VALERON MD PA
Entity Type:Organization
Organization Name:HORTENSIA VALERON MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HORTENSIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALERON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-247-3099
Mailing Address - Street 1:1172 S DIXIE HWY
Mailing Address - Street 2:#411
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2918
Mailing Address - Country:US
Mailing Address - Phone:407-247-3099
Mailing Address - Fax:
Practice Address - Street 1:1172 S DIXIE HWY
Practice Address - Street 2:#411
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2918
Practice Address - Country:US
Practice Address - Phone:407-247-3099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1181382084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic MedicineGroup - Single Specialty