Basic Information
| Provider Information | |||||||||
| NPI: | 1982993879 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VALDES | ||||||||
| FirstName: | PEDRO | ||||||||
| MiddleName: | JOSE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16425 COLLINS AVE | ||||||||
| Address2: | APARTMENT 2014 | ||||||||
| City: | SUNNY ISLES BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331604537 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3059789453 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 7100 W 20TH AVE STE G166 | ||||||||
| Address2: | |||||||||
| City: | HIALEAH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330161805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3058350551 | ||||||||
| FaxNumber: | 3056967704 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/31/2011 | ||||||||
| LastUpdateDate: | 07/06/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0011X | OS11973 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology |
No ID Information.