Basic Information
Provider Information
NPI: 1316206303
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VALDES
FirstName: ZURAMI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
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OtherCredential:  
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Mailing Information
Address1: 10 E 44TH ST
Address2:  
City: HIALEAH
State: FL
PostalCode: 330131816
CountryCode: US
TelephoneNumber: 3052184814
FaxNumber: 3055128805
Practice Location
Address1: 11440 N KENDALL DR STE 109
Address2:  
City: MIAMI
State: FL
PostalCode: 331761024
CountryCode: US
TelephoneNumber: 3059298705
FaxNumber: 3056003714
Other Information
ProviderEnumerationDate: 05/10/2012
LastUpdateDate: 11/01/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
222Q00000X  Y Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist 

No ID Information.


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