Active NPI
Flor De Maria Grados Valderrama, M.D.
- Pediatrics Physician
- Monroe, LA
National Provider Identifier
1407087547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 203138
- Practice address
- 2802 Pargoud Blvd
Monroe, LA 71201-2335 - Phone
- (305) 766-9688
- NPI assigned
- Aug 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 203138 | LA | Primary |
Addresses
Primary practice location
2802 Pargoud Blvd
Monroe, LA 71201-2335
Mailing address
2802 Pargoud Blvd
Monroe, LA 71201-2335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1802433 | Medicaid | LA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203138 | LA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473897600000",
"number": "1407087547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2802 PARGOUD BLVD",
"city": "MONROE",
"state": "LA",
"postal_code": "712012335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2802 PARGOUD BLVD",
"city": "MONROE",
"state": "LA",
"postal_code": "712012335",
"telephone_number": "305-766-9688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRADOS VALDERRAMA",
"first_name": "FLOR",
"middle_name": "DE MARIA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-06",
"last_updated": "2016-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "203138",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1802433",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.