Individual
RAUL VALDES CANOVA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Contact information
Practice address
5327 NW 30TH PL, MIAMI, FL 33142-3405
(786) 665-5985
Mailing address
5327 NW 30TH PL, MIAMI, FL 33142-3405
(786) 665-5985
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17525-I
PR
246ZC0007X
Surgical Assistant
21-344
WI
Other
Enumeration date
06/01/2023
Last updated
07/23/2025
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