Active NPI
Armando Valladares, SAC
- Surgical Assistant
- Bay Harbor Islands, FL
National Provider Identifier
1093065161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 12-121
- Practice address
- 1075 93Rd St Apt 402
Bay Harbor Islands, FL 33154-2352 - Phone
- (786) 301-5301
- NPI assigned
- Sep 14, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 12-121 | AZ | Primary |
Addresses
Primary practice location
1075 93Rd St Apt 402
Bay Harbor Islands, FL 33154-2352
Mailing address
1075 93 Rd St Apt 402
Bay Harbor Isld, FL 33154
Phone (786) 301-5301
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12-121 | AZ | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1093065161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 93 RD ST APT 402",
"city": "BAY HARBOR ISLD",
"state": "FL",
"postal_code": "33154",
"telephone_number": "786-301-5301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 93RD ST APT 402",
"city": "BAY HARBOR ISLANDS",
"state": "FL",
"postal_code": "331542352",
"telephone_number": "786-301-5301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLADARES",
"first_name": "ARMANDO",
"name_prefix": "Dr.",
"credential": "SAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-14",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "AZ",
"license": "12-121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay Harbor Islands, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.