Provider Demographics
NPI:1639293194
Name:VALDEZ, IRENE (RRT)
Entity Type:Individual
Prefix:MS
First Name:IRENE
Middle Name:
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6210 WILES RD APT 207
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-4306
Mailing Address - Country:US
Mailing Address - Phone:954-753-1317
Mailing Address - Fax:
Practice Address - Street 1:6210 WILES RD APT 207
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-4306
Practice Address - Country:US
Practice Address - Phone:954-753-1317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT8651227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered