Active NPI
Carolina Del Valle Malave, SA-C
- Surgical Assistant
- Aventura, FL
National Provider Identifier
1154876100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 15-354
- Practice address
- 19748 East Coutry Club Drive
Aventura, FL 33180-2523 - Phone
- (305) 846-0806
- NPI assigned
- Aug 19, 2016
- Sex
- Female
- 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 | 15-354 | CO | Primary |
Addresses
Primary practice location
19748 East Coutry Club Drive
Aventura, FL 33180-2523
Mailing address
19748 E Country Club Dr
Aventura, FL 33180-2523
Phone (305) 846-0806
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15-354 | Other | CO | SA-C |
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 |
|---|---|---|---|
| 15-354 | CO | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471564800000",
"number": "1154876100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19748 E COUNTRY CLUB DR",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331802523",
"telephone_number": "305-846-0806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19748 EAST COUTRY CLUB DRIVE",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331802523",
"telephone_number": "305-846-0806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALAVE",
"first_name": "CAROLINA",
"middle_name": "DEL VALLE",
"credential": "SA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-19",
"last_updated": "2016-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "CO",
"license": "15-354",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SA-C",
"identifier": "15-354",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.