Provider Demographics
NPI:1780390575
Name:VALDES SAROZA, ANISBEL (MA)
Entity type:Individual
Prefix:
First Name:ANISBEL
Middle Name:
Last Name:VALDES SAROZA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9370 SW 72ND ST STE A150
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-5461
Mailing Address - Country:US
Mailing Address - Phone:305-639-8095
Mailing Address - Fax:
Practice Address - Street 1:9370 SW 72ND ST STE A150
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-5461
Practice Address - Country:US
Practice Address - Phone:305-639-8095
Practice Address - Fax:305-392-0775
Is Sole Proprietor?:No
Enumeration Date:2023-01-25
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA97943225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist