Individual
DR. GUILLERMO JOSE VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 SW 84TH AVE, SUITE B, PLANTATION, FL 33324-2736
(954) 476-2338
(954) 476-5695
Mailing address
140 SW 84TH AVE, SUITE B, PLANTATION, FL 33324-2736
(954) 476-2338
(954) 476-5695
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME006617
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005771
NHP
FL
01
—
0462952
CIGNA
FL
01
—
200530
AMERIGROUP
FL
01
—
222923
AVMED
FL
01
—
25333
BCBS
FL
05
—
378648000
—
FL
01
—
854422
AETNA
FL
Enumeration date
07/24/2006
Last updated
02/26/2013
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