Individual provider Active NPI

Raul Valdes Canova Sr., SURGICAL ASSISTANT

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1043903370
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
025220 Issued in PR
Practice address
5327 NW 30TH PL
Miami, FL 33142-3405
Phone
(786) 665-5985
NPI assigned
Jun 1, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 025220 PR Primary
Surgical Assistant 246ZC0007X 21-344 WI

Addresses

Primary practice location

5327 NW 30TH PL
Miami, FL 33142-3405

Mailing address

5327 NW 30TH PL
Miami, FL 33142-3405
Phone (786) 665-5985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17525-IPRMDGeneral Practice Physician
21-344WIMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1043903370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5327 NW 30TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331423405",
            "telephone_number": "786-665-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5327 NW 30TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331423405",
            "telephone_number": "786-665-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES CANOVA",
        "first_name": "RAUL",
        "name_suffix": "Sr.",
        "credential": "SURGICAL ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-01",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "025220",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "WI",
            "license": "21-344",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.