Provider Demographics
NPI:1376011130
Name:VALERIA MEDICAL SUPPLIES LLC
Entity Type:Organization
Organization Name:VALERIA MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:YOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-241-9111
Mailing Address - Street 1:12150 SW 132ND CT STE 216
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4206
Mailing Address - Country:US
Mailing Address - Phone:786-701-9129
Mailing Address - Fax:305-503-9256
Practice Address - Street 1:12150 SW 132ND CT STE 216
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4206
Practice Address - Country:US
Practice Address - Phone:786-701-9129
Practice Address - Fax:305-503-9256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-08
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies