Individual provider Active NPI

Martin Del Valle, CRNA

  • Certified Registered Nurse Anesthetist
  • Miami, FL
National Provider Identifier
1053614610
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9316981 Issued in FL
Practice address
9167 Fontainebleau Blvd Apt 15
Miami, FL 33172-6317
Phone
(787) 568-2868
NPI assigned
Dec 20, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 9316981 FL Primary

Addresses

Primary practice location

9167 Fontainebleau Blvd Apt 15
Miami, FL 33172-6317

Mailing address

9167 Fontainebleau Blvd Apt 15
Miami, FL 33172-6317
Phone (787) 568-2868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160701001401 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688966112 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

515 W State Rd
434 Suite 105
Longwood, FL 32750-5161
Phone (407) 260-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
9316981FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarasota Ambulatory Surgery Center LTD Current Accepting new patients
Orange City Anesthesia Services LLC CurrentSince May 6, 2016 Accepting new patients
Sheridan Healthcorp, Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 23, 2020 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Galloway Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 2, 2018 Accepting new patients
Galloway Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 2, 2018 Accepting new patients
Sarasota Anesthesia Services LLC CurrentSince May 6, 2016 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Mar 23, 2020 Accepting new patients

Locations

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

515 W State Road 434
Ste 105
Longwood, FL 32750
Phone (407) 260-6000

9415 SW 72nd St
Ste 274
Miami, FL 33173
Phone (305) 468-4184

7500 SW 87th Ave
Ste 101
Miami, FL 33173
Phone (305) 595-9511

7875 SW 104th St
Ste 201
Miami, FL 33156
Phone (305) 270-7572

7600 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (786) 235-3750

975 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 456-5247

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

2821 Proctor Rd
Sarasota, FL 34231
Phone (941) 870-1872

Organizations & group practices 8

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": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1053614610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9167 FONTAINEBLEAU BLVD APT 15",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331726317",
            "telephone_number": "787-568-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9167 FONTAINEBLEAU BLVD APT 15",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331726317",
            "telephone_number": "787-568-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL VALLE",
        "first_name": "MARTIN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9316981",
            "primary": true
        }
    ],
    "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 Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.