Organization
SOUTH DADE NEONATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO VALDES MD (PARTNER)
(305) 441-7179
Entity
Organization
Contact information
Practice address
215 GRAND AVE, CORAL GABLES, FL 33133-4841
(305) 441-7179
(305) 448-7134
Mailing address
PO BOX 43-2620, SOUTH MIAMI, FL 33243-2620
(305) 441-7179
(305) 448-7134
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256644300
—
FL
01
—
38734
BC BS
FL
Enumeration date
11/06/2006
Last updated
01/27/2011
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