Provider Demographics
NPI:1760513345
Name:VALMOCINA, MARIBEL S (ARNP,CDE)
Entity Type:Individual
Prefix:
First Name:MARIBEL
Middle Name:S
Last Name:VALMOCINA
Suffix:
Gender:F
Credentials:ARNP,CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:685 NE 93RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33138-2906
Mailing Address - Country:US
Mailing Address - Phone:305-899-1390
Mailing Address - Fax:305-895-4499
Practice Address - Street 1:685 NE 93RD ST
Practice Address - Street 2:
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33138-2906
Practice Address - Country:US
Practice Address - Phone:305-899-1390
Practice Address - Fax:305-895-4499
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1330012363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS82531Medicare UPIN