Provider Demographics
NPI:1770991457
Name:VALDES, MARIO ARMANDO (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:MARIO
Middle Name:ARMANDO
Last Name:VALDES
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10710 SW 126TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-3747
Mailing Address - Country:US
Mailing Address - Phone:786-423-5755
Mailing Address - Fax:
Practice Address - Street 1:8024 SW 81ST DRIVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4548
Practice Address - Country:US
Practice Address - Phone:786-432-9242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-26
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT36513225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist