Alma Vallderuten, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN20273 Issued in FL

Practice address

4640 N Federal Hwy Ste H
Fort Lauderdale, FL 33308-5205

Phone

(954) 491-5748

Fax

(954) 491-1883

NPI assigned

Jul 30, 2013

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

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

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306278510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 N FEDERAL HWY STE H",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085205",
            "telephone_number": "954-491-5748",
            "fax_number": "954-491-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 N FEDERAL HWY STE H",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085205",
            "telephone_number": "954-491-5748",
            "fax_number": "954-491-1883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 SE 6th Ave",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333012900",
            "country_code": "US",
            "telephone_number": "954-260-0214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLDERUTEN",
        "first_name": "ALMA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Valenzuela, PH.D.
• Moises David Valerio
• Valhalla Sunshine LLC
• Jackeline L Valladares
• Madeline Valladares, LMFT
• Gabriel A Valle, M.D.
• Rebeca Vallejo
• Ruben Vallejo, MD
• Maria Leah Lao Valmonte, P.T.
• Valor Medical Supplies, LLC

• General Practice Dentistry in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 Jul 21, 2022; 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.