Individual
SERGIO VALIENTE PALACIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2496 SW 17TH AVE APT 5311, MIAMI, FL 33145-3869
(305) 539-8305
Mailing address
2496 SW 17TH AVE APT 5311, MIAMI, FL 33145-3869
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
101796
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101796
THE FLORIDA CERTIFICATION BOARD
FL
Enumeration date
06/30/2021
Last updated
06/30/2021
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