Individual
MR. JORGE LUIS VALIENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1200 NW 78TH AVE STE 212, DORAL, FL 33126-1890
(305) 597-3909
(305) 597-3903
Mailing address
1200 NW 78TH AVE STE 212, DORAL, FL 33126-1890
(305) 597-3909
(305) 597-3903
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
MA58987
FL
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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