Jonathan E Delvalle, PHYSICIAN ASSISTANT

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9108088 Issued in FL

Practice address

2400 NW 54TH St
Miami, FL 33142-2946

Phone

(305) 633-9090

Fax

(305) 519-2546

NPI assigned

Aug 13, 2014

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vilafortuny Salou Medical Center Inc

  • Physical Therapy Clinic/Center
  • Hialeah, FL
  • NPI 1841885480
  NPD
• Acevedo Medical Care Group Inc

  • General Practice Physician
  • Miami, FL
  • NPI 1588756001
  NPD (past)

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1356750541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14240 GLENCAIRN RD",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161477",
            "telephone_number": "305-519-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 NW 54TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331422946",
            "telephone_number": "305-633-9090",
            "fax_number": "305-519-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELVALLE",
        "first_name": "JONATHAN",
        "middle_name": "E",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-13",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9108088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deluxe Life Medical Group Corp
• Deluxe Rehabilitation Center Inc
• Deluxhealthcare LLC
• Bela Delvadia, MD
• Elizabeth Delvalle
• Raymond Delvalle, RBT
• Gerald Delvard
• Christina Ann Delvecchio
• Neil Andrew Delwadia
• Melisa Demahy

• Medical Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.