Provider Demographics
NPI:1235475435
Name:MARIA A. VALDIVIA P.A.
Entity Type:Organization
Organization Name:MARIA A. VALDIVIA P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:VALDIVIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-644-0977
Mailing Address - Street 1:1393 SW 1ST ST STE 320
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2321
Mailing Address - Country:US
Mailing Address - Phone:305-644-0977
Mailing Address - Fax:305-644-0114
Practice Address - Street 1:1393 SW 1ST ST STE 320
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2321
Practice Address - Country:US
Practice Address - Phone:305-644-0977
Practice Address - Fax:305-644-0114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-17
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty