Individual provider Active NPI

Valentina Gamboa

  • Physician Assistant
  • Coral Gables, FL
National Provider Identifier
1386434181
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9119807 Issued in FL
Practice address
2695 S Le Jeune Rd Ste 203
Coral Gables, FL 33134-5840
Phone
(305) 672-8559
Fax
(305) 672-9259
NPI assigned
May 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9119807 FL Primary

Addresses

Primary practice location

2695 S Le Jeune Rd Ste 203
Coral Gables, FL 33134-5840

Mailing address

2695 S Le Jeune Rd Ste 203
Coral Gables, FL 33134-5840
Phone (305) 672-8559

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
I20251114000715 FL Practitioner - Physician Assistant 8123519493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Florida International Univ, College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Misha Denham DO PAGroup PAC ID 3375728769, 2 clinicians

Practice addresses (Care Compare)

2695 S Le Jeune Rd
Suite 203
Coral Gables, FL 33134-5840
Phone (305) 672-8559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9119807FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Misha Denham, DO PA CurrentSince Oct 1, 2025 Accepting new patients

Locations

2695 S Le Jeune Rd
Ste 203
Miami, FL 33134
Phone (305) 672-8559

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1386434181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 S LE JEUNE RD STE 203",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345840",
            "telephone_number": "305-672-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 S LE JEUNE RD STE 203",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345840",
            "telephone_number": "305-672-8559",
            "fax_number": "305-672-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBOA",
        "first_name": "VALENTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9119807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.