Provider Demographics
NPI:1841451929
Name:VALDES, ARIADNA (MEDICAL DOCTOR)
Entity type:Individual
Prefix:DR
First Name:ARIADNA
Middle Name:
Last Name:VALDES
Suffix:
Gender:F
Credentials:MEDICAL DOCTOR
Other - Prefix:
Other - First Name:ARIADNA
Other - Middle Name:
Other - Last Name:ARIAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:9900 SW 107 AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2809
Mailing Address - Country:US
Mailing Address - Phone:786-360-5476
Mailing Address - Fax:786-360-5242
Practice Address - Street 1:9900 SW 107 AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2809
Practice Address - Country:US
Practice Address - Phone:786-360-5476
Practice Address - Fax:786-360-5242
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME108943207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program