Active NPI
Marco Valdes
- Radiologic Technologist
- Miami, FL
National Provider Identifier
1427445972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- CRT67465
- Practice address
- 2720 SW 97TH Ave
# 208
Miami, FL 33165-2677 - Phone
- (305) 549-8085
- Fax
- (305) 549-8790
- NPI assigned
- Apr 22, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | CRT67465 | FL | Primary |
Addresses
Primary practice location
2720 SW 97TH Ave
# 208
Miami, FL 33165-2677
Mailing address
2720 SW 97TH Ave
# 208
Miami, FL 33165-2677
Phone (305) 549-8085
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRT67465 | FL | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1427445972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 SW 97TH AVE",
"address_2": "# 208",
"city": "MIAMI",
"state": "FL",
"postal_code": "331652677",
"telephone_number": "305-549-8085",
"fax_number": "305-549-8790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 SW 97TH AVE",
"address_2": "# 208",
"city": "MIAMI",
"state": "FL",
"postal_code": "331652677",
"telephone_number": "305-549-8085",
"fax_number": "305-549-8790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDES",
"first_name": "MARCO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-22",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "FL",
"license": "CRT67465",
"primary": true
}
],
"identifiers": [],
"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 Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.