Individual provider Active NPI

Valentina Prieto Forero, PA-C

  • Physician Assistant
  • Pembroke Pines, FL
National Provider Identifier
1477288702
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9116243 Issued in FL
Practice address
400 N Hiatus Rd Ste 105
Pembroke Pines, FL 33026-5214
Phone
(954) 431-8000
NPI assigned
Jul 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9116243 FL Primary
Medical Physician Assistant 363AM0700X

Addresses

Primary practice location

400 N Hiatus Rd Ste 105
Pembroke Pines, FL 33026-5214

Mailing address

10541 SW 161St Ave
Miami, FL 33196-4579
Phone (305) 338-1878

Other practice location 1

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (786) 596-6743

Other practice location 2

9555 SW 162nd Ave
Miami, FL 33196-6408
Phone (786) 467-2159

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
I20220817002245 FL Practitioner - Physician Assistant 3476936840 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9116243FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saltzman, Tanis, Pittell, Levin and Jacobson, LLC PastSince Nov 19, 2023 Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson PastSince Nov 19, 2023 Accepting new patients

Organizations & group practices 3

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": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1477288702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10541 SW 161ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331964579",
            "telephone_number": "305-338-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N HIATUS RD STE 105",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265214",
            "telephone_number": "954-431-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8900 N Kendall Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762118",
            "country_code": "US",
            "telephone_number": "786-596-6743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9555 SW 162nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331966408",
            "country_code": "US",
            "telephone_number": "786-467-2159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIETO FORERO",
        "first_name": "VALENTINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116243",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.