Individual provider Active NPI

Rene A Valiente, MHS, PA-C

  • Medical Physician Assistant
  • Coconut Grove, FL
National Provider Identifier
1003965302
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9101459 Issued in FL
Practice address
2750 SW 37TH Ave
Coconut Grove, FL 33133-2764
Phone
(305) 361-8200
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9101459 FL Primary

Addresses

Primary practice location

2750 SW 37TH Ave
Coconut Grove, FL 33133-2764

Mailing address

15415 SW 99TH LN
Miami, FL 33196-3815
Phone (305) 740-9083

Other practice location 1

2645 SW 37th Ave Ste 505
Coral Gables, FL 33133-2745
Phone (786) 382-7054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070425000208 FL Practitioner - Physician Assistant 6002911757 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susana Leal Khouri MD PAGroup PAC ID 5193871838, 7 clinicians

Practice addresses (Care Compare)

580 Crandon Blvd
Key Biscayne, FL 33149-1832
Phone (305) 361-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9101459FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rene a Valiente LLC Medical Current Accepting new patients

Locations

2645 SW 37th Ave
Ste 505
Miami, FL 33133
Phone (305) 444-3376

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1003965302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15415 SW 99TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963815",
            "telephone_number": "305-740-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 SW 37TH AVE",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331332764",
            "telephone_number": "305-361-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2645 SW 37th Ave Ste 505",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331332745",
            "country_code": "US",
            "telephone_number": "786-382-7054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALIENTE",
        "first_name": "RENE",
        "middle_name": "A",
        "credential": "MHS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Grove, FL

Sources for this page

Verify at the official NPI Registry.