Provider Demographics
NPI:1326639246
Name:VALDES PAIFER, MAURA (GENERAL PHYSICIAN)
Entity Type:Individual
Prefix:
First Name:MAURA
Middle Name:
Last Name:VALDES PAIFER
Suffix:
Gender:F
Credentials:GENERAL PHYSICIAN
Other - Prefix:
Other - First Name:MAURA
Other - Middle Name:
Other - Last Name:VALDES PAIFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13246 SW 86TH ST # 33183
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4161
Mailing Address - Country:US
Mailing Address - Phone:786-642-6130
Mailing Address - Fax:
Practice Address - Street 1:13246 SW 86TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4161
Practice Address - Country:US
Practice Address - Phone:786-642-6130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20-531246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLV432540949460OtherDMV