Provider Demographics
NPI:1558468967
Name:VALLES & ASSOCIATES REHABILITATION SERVICES INC
Entity Type:Organization
Organization Name:VALLES & ASSOCIATES REHABILITATION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER/DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:I
Authorized Official - Last Name:VALLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-233-7035
Mailing Address - Street 1:12600 SW 120TH ST
Mailing Address - Street 2:STE #109, 2ND FLR
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-9066
Mailing Address - Country:US
Mailing Address - Phone:305-233-7035
Mailing Address - Fax:305-233-7250
Practice Address - Street 1:12600 SW 120TH ST
Practice Address - Street 2:STE #109, 2ND FLR
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-9066
Practice Address - Country:US
Practice Address - Phone:305-233-7035
Practice Address - Fax:305-233-7250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC3600225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty