Basic Information
| Provider Information | |||||||||
| NPI: | 1568797009 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VALENCIA | ||||||||
| FirstName: | VICTORIA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7800 SW 57 AVE | ||||||||
| Address2: | SUITE 228 | ||||||||
| City: | SOUTH MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33143 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3056654999 | ||||||||
| FaxNumber: | 3056650332 | ||||||||
| Practice Location | |||||||||
| Address1: | 8475 SW 94TH ST APT 313 | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331567375 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7868531038 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/15/2009 | ||||||||
| LastUpdateDate: | 06/03/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 222Q00000X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Developmental Therapist |
No ID Information.