Provider Demographics
NPI:1073645438
Name:VALDES, LUISA NARCISA
Entity Type:Individual
Prefix:MRS
First Name:LUISA
Middle Name:NARCISA
Last Name: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 1:9320 FONTAINEBLEAU BLVD ST
Mailing Address - Street 2:APTO 605
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-5628
Mailing Address - Country:US
Mailing Address - Phone:305-479-9087
Mailing Address - Fax:305-228-8470
Practice Address - Street 1:9320 FONTAINEBLEAU BLVD
Practice Address - Street 2:APTO 605
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-4242
Practice Address - Country:US
Practice Address - Phone:305-479-9087
Practice Address - Fax:305-228-8470
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA 34257364SH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SH0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHome Health