Provider Demographics
NPI:1164618732
Name:ARNALDO VALLS,MD,PA DBA WEST MEDICAL & COSMETIC CENTER
Entity Type:Organization
Organization Name:ARNALDO VALLS,MD,PA DBA WEST MEDICAL & COSMETIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-262-8875
Mailing Address - Street 1:7325 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2505
Mailing Address - Country:US
Mailing Address - Phone:305-262-8875
Mailing Address - Fax:305-262-8874
Practice Address - Street 1:7325 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2505
Practice Address - Country:US
Practice Address - Phone:305-262-8875
Practice Address - Fax:305-262-8874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL596476-3261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH41450Medicare UPIN
FL1386745255Medicare PIN