Active NPI
Valeria Nicole Cardona Malave
- General Practice Dentistry
- Weston, FL
National Provider Identifier
1265089981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN27499
- Practice address
- 2366 Weston Rd
Weston, FL 33326-3260 - Phone
- (631) 632-8989
- NPI assigned
- Aug 19, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | DN27499 | FL | Primary |
Addresses
Primary practice location
2366 Weston Rd
Weston, FL 33326-3260
Mailing address
800 S Park Rd # 2-11
Hollywood, FL 33021-8716
Phone (787) 309-4445
Other practice location 1
10 Calle Casia
San Juan, PR 00921-3200
Phone (787) 641-7582
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 |
|---|---|---|---|
| DN27499 | FL | MD | General Practice Dentistry |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668211200000",
"number": "1265089981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S PARK RD # 2-11",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330218716",
"telephone_number": "787-309-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2366 WESTON RD",
"city": "WESTON",
"state": "FL",
"postal_code": "333263260",
"telephone_number": "631-632-8989"
}
],
"practiceLocations": [
{
"address_1": "10 Calle Casia",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009213200",
"country_code": "US",
"telephone_number": "787-641-7582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARDONA MALAVE",
"first_name": "VALERIA",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-19",
"last_updated": "2022-11-12",
"certification_date": "2022-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN27499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.