Provider Demographics
NPI:1083313506
Name:VALDES-MERON, LISBELY SR
Entity Type:Individual
Prefix:
First Name:LISBELY
Middle Name:
Last Name:VALDES-MERON
Suffix:SR
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 1:1700 E 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-3110
Mailing Address - Country:US
Mailing Address - Phone:786-546-9872
Mailing Address - Fax:
Practice Address - Street 1:1700 E 2ND AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-3110
Practice Address - Country:US
Practice Address - Phone:786-546-9872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician