Active NPI
Jose H Valladares MD PA
- Medical Specialty Clinic/Center
- Miami, FL
National Provider Identifier
1265612758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- ME022220
- Legal business name
- JOSE H VALLADARES MD PA
- Practice address
- 2660 SW 3Rd St
Miami, FL 33135-1415 - Phone
- (305) 541-9300
- NPI assigned
- Nov 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jose H Valladares, MD
- Title
- President
- Phone
- (305) 541-9300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | ME022220 | FL | Primary |
Addresses
Primary practice location
2660 SW 3Rd St
Miami, FL 33135-1415
Mailing address
PO Box 450708
Miami, FL 33245-0708
Phone (305) 541-9300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055372700 | Medicaid | FL | |
| AH322 | Other | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
2660 SW 3rd St
Miami, FL 33135
Phone (305) 541-9300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Miami, FL
- NPI 1093027732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214265600000",
"number": "1265612758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 450708",
"city": "MIAMI",
"state": "FL",
"postal_code": "332450708",
"telephone_number": "305-541-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2660 SW 3RD ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331351415",
"telephone_number": "305-541-9300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSE H VALLADARES MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-13",
"last_updated": "2008-06-24",
"status": "A",
"authorized_official_last_name": "VALLADARES",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-541-9300",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "FL",
"license": "ME022220",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "055372700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "AH322",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.