Provider Demographics
NPI:1083071559
Name:VALDEZ, YAMLEY
Entity Type:Individual
Prefix:
First Name:YAMLEY
Middle Name:
Last Name:VALDEZ
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 1:5241 NW 2TERR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126
Mailing Address - Country:US
Mailing Address - Phone:305-924-1337
Mailing Address - Fax:
Practice Address - Street 1:5241 NW 2TERR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126
Practice Address - Country:US
Practice Address - Phone:305-924-1337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-28
Last Update Date:2024-02-01
Deactivation Date:2018-06-10
Deactivation Code:
Reactivation Date:2024-01-31
Provider Licenses
StateLicense IDTaxonomies
FLRN9404326163W00000X
FLAPRN11010194363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse