Individual provider Active NPI

Jose Gabriel Valdes, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1235771288
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11015471 Issued in FL
Practice address
10689 N Kendall Dr Ste 211
Miami, FL 33176-1594
Phone
(305) 204-9499
Fax
(507) 607-8720
NPI assigned
Oct 10, 2019
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11015471 FL Primary
Medical-Surgical Registered Nurse 163WM0705X RN9512079 FL

Addresses

Primary practice location

10689 N Kendall Dr Ste 211
Miami, FL 33176-1594

Mailing address

10689 N Kendall Dr Ste 211
Miami, FL 33176-1594
Phone (305) 204-9499

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211022001096 FL Practitioner - Nurse Practitioner 5597153635 Reassigns benefits to 3 organizations
Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9512079FLMDMedical-Surgical Registered Nurse
APRN11015471FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mentally Psychiatry LLC Single Specialty CurrentSince Feb 1, 2022 Accepting new patients
Grow Healthcare Group PA Single Specialty CurrentSince Nov 5, 2022 Accepting new patients
Citrus Health Network, Inc. CurrentSince Mar 10, 2024 Accepting new patients
Citrus Health Network Inc Single Specialty CurrentSince Mar 10, 2024 Accepting new patients

Locations

4175 W 20th Ave
Hialeah, FL 33012
Phone (305) 424-3030

10689 N Kendall Dr
Ste 211
Miami, FL 33176
Phone (305) 204-9499

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1235771288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10689 N KENDALL DR STE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761594",
            "telephone_number": "305-204-9499",
            "fax_number": "507-607-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10689 N KENDALL DR STE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761594",
            "telephone_number": "305-204-9499",
            "fax_number": "507-607-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES",
        "first_name": "JOSE",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-10",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11015471",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "FL",
            "license": "RN9512079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.