Provider Demographics
NPI:1801095815
Name:A BETTER HEARING OF MIAMI BEACH
Entity type:Organization
Organization Name:A BETTER HEARING OF MIAMI BEACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:VALDES
Authorized Official - Suffix:
Authorized Official - Credentials:8191966
Authorized Official - Phone:305-531-0606
Mailing Address - Street 1:3425 COLLINS AVENUE VERSAILLES HOTEL COND.
Mailing Address - Street 2:SUITE C-3
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140
Mailing Address - Country:US
Mailing Address - Phone:305-531-0606
Mailing Address - Fax:305-531-0650
Practice Address - Street 1:3425 COLLINS AVE
Practice Address - Street 2:VERSAILLES HOTEL SUITE C-3
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-4005
Practice Address - Country:US
Practice Address - Phone:305-531-0606
Practice Address - Fax:305-531-0650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS2703237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL600544600Medicaid