Provider Demographics
NPI:1831559400
Name:RICARD VALDEZ, JUAN HILARIO SR (SURGICAL ASSISTANT)
Entity type:Individual
Prefix:MR
First Name:JUAN
Middle Name:HILARIO
Last Name:RICARD VALDEZ
Suffix:SR
Gender:M
Credentials:SURGICAL ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2094 ROOKERY BAY DR APT 2805
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34114-9373
Mailing Address - Country:US
Mailing Address - Phone:239-887-7325
Mailing Address - Fax:
Practice Address - Street 1:2094 ROOKERY BAY DR APT 2805
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34114
Practice Address - Country:US
Practice Address - Phone:239-887-7325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-25
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16132246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant