Organization
VILLA VALER SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICIO MARTIN (PRESIDENT)
(305) 964-7717
Entity
Organization
Contact information
Practice address
20342 SW 129TH PL, MIAMI, FL 33177-5506
(305) 964-7717
(305) 964-7717
Mailing address
20342 SW 129TH PL, MIAMI, FL 33177-5506
(305) 964-7717
(305) 964-7717
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
11-1158-GH
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016584900
—
FL
Enumeration date
10/18/2016
Last updated
10/18/2016
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