Individual
JUAN CARLOS VALDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12595 SW 137TH AVE, SUITE #101, MIAMI, FL 33186-4220
(786) 581-9064
(786) 581-9172
Mailing address
12595 SW 137TH AVE, SUITE #101, MIAMI, FL 33186-4220
(786) 581-9064
(786) 581-9172
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
MA57884
FL
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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