Marilyn Valdes, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 19582 Issued in FL

Practice address

4411 W Flagler St
Coral Gables, FL 33134-1545

Phone

(305) 445-5515

Fax

(305) 445-5518

NPI assigned

Nov 8, 2011

Last updated

Sep 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Estetica Dental Gables,Inc

  • Dentist
  • Coral Gables, FL
  • NPI 1215212782
  NPD Authorized official
• Progressive Dental Office Corp

  • General Practice Dentistry
  • Hialeah, FL
  • NPI 1023565033
  NPD (past)

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1104103910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 W FLAGLER ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341545",
            "telephone_number": "305-445-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 W FLAGLER ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341545",
            "telephone_number": "305-445-5515",
            "fax_number": "305-445-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES",
        "first_name": "MARILYN",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 19582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004645600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julio Yasser Valdes Liste, M.D.
• Cyndi Paola Valdes Machorro, MD
• Carlos Valdes-Sueiras
• Ernesto Valdes, MD
• Lidianys Valdes, APRN
• Stefanie M Valdes, M.S., CF-SLP
• Aileen Damaris Valdez, MS, LMHC
• Yelenny Valdivia Rodriguez, APRN
• Raquel Valdivia, LMHC
• Valencia Home Health Services, Inc.

• General Practice Dentistry in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.