Provider Demographics
NPI:1669694824
Name:VALLADARES, ROSARIO (BS)
Entity type:Individual
Prefix:MRS
First Name:ROSARIO
Middle Name:
Last Name:VALLADARES
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11510 SW 80TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3603
Mailing Address - Country:US
Mailing Address - Phone:786-200-2208
Mailing Address - Fax:
Practice Address - Street 1:11510 SW 80TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3603
Practice Address - Country:US
Practice Address - Phone:786-200-2208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist