Provider Demographics
NPI:1013127513
Name:VALDEZ, AMERICA TARAFA (PS)
Entity Type:Individual
Prefix:
First Name:AMERICA
Middle Name:TARAFA
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:PS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1071 SW 85TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4057
Mailing Address - Country:US
Mailing Address - Phone:305-264-3099
Mailing Address - Fax:786-621-6011
Practice Address - Street 1:8210 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2028
Practice Address - Country:US
Practice Address - Phone:786-621-6010
Practice Address - Fax:786-621-6011
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0013632183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5720550001OtherPRIVATE INSURENCES
FL5720550001Medicare ID - Type Unspecified