Provider Demographics
NPI:1891709580
Name:VALIENTE, JOSE RAMON (RPH,CPH)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:RAMON
Last Name:VALIENTE
Suffix:
Gender:M
Credentials:RPH,CPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 SW 139TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-8009
Mailing Address - Country:US
Mailing Address - Phone:305-221-5003
Mailing Address - Fax:
Practice Address - Street 1:2500 NW 22ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-8429
Practice Address - Country:US
Practice Address - Phone:786-466-3000
Practice Address - Fax:305-638-6880
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS19867183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist