Provider Demographics
NPI:1851553473
Name:VALDES, PAVEL (MD)
Entity Type:Individual
Prefix:
First Name:PAVEL
Middle Name:
Last Name:VALDES
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:6101 BLUE LAGOON DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3168
Mailing Address - Country:US
Mailing Address - Phone:615-705-1725
Mailing Address - Fax:786-472-5770
Practice Address - Street 1:1314 GUADALUPE ST STE 105
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-5582
Practice Address - Country:US
Practice Address - Phone:210-225-4810
Practice Address - Fax:210-686-3831
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2023-03-14
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Provider Licenses
StateLicense IDTaxonomies
TXP0884207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP0884OtherTEXAS MEDICAL BOARD