Provider Demographics
NPI:1760014641
Name:COLLABORATIVE WOMENS CARE
Entity Type:Organization
Organization Name:COLLABORATIVE WOMENS CARE
Other - Org Name:COLLABORATIVE WOMENS CARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MD
Authorized Official - Prefix:
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:E
Authorized Official - Last Name:VALDES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-230-3562
Mailing Address - Street 1:607 VILABELLA AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1719
Mailing Address - Country:US
Mailing Address - Phone:305-230-3562
Mailing Address - Fax:305-230-3562
Practice Address - Street 1:3683 S MIAMI AVE STE 400
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4238
Practice Address - Country:US
Practice Address - Phone:305-230-3562
Practice Address - Fax:305-290-1017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-07
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty