Provider Demographics
NPI:1770873317
Name:VALERIO, MARCOS GIOVANNI (MD)
Entity type:Individual
Prefix:DR
First Name:MARCOS
Middle Name:GIOVANNI
Last Name:VALERIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 SW 57TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-5319
Mailing Address - Country:US
Mailing Address - Phone:305-856-1064
Mailing Address - Fax:305-856-0644
Practice Address - Street 1:4100 SW 57TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-5319
Practice Address - Country:US
Practice Address - Phone:305-856-1064
Practice Address - Fax:305-856-0644
Is Sole Proprietor?:No
Enumeration Date:2011-04-17
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME136270207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease