Individual provider Active NPI

Damaris Valdes, ARNP

  • Family Nurse Practitioner
  • Medley, FL
National Provider Identifier
1700282399
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9293928 Issued in FL
Practice address
8181 NW S River Dr
D 410
Medley, FL 33166-7447
Phone
(305) 825-6101
NPI assigned
Nov 10, 2014
Last updated
Nov 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9293928 FL Primary

Addresses

Primary practice location

8181 NW S River Dr
D 410
Medley, FL 33166-7447

Mailing address

8181 NW S River Dr
D 410
Medley, FL 33166-7447
Phone (305) 825-6101

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
I20160706001894 FL Practitioner - Nurse Practitioner 1052603313 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7055 W 4TH CT
Hialeah, FL 33014-4936
Phone (305) 490-8817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DV Healthcare Services, Inc Current Accepting new patients
Miami Lakes Doctor's LLC CurrentSince May 1, 2021 Accepting new patients
DV Healthcare Services, Inc Family CurrentSince Jan 9, 2016 Accepting new patients

Locations

4212 W 16th Ave
Hialeah, FL 33012
Phone (305) 821-5525

5757 NW 151st St
Miami Lakes, FL 33014
Phone (786) 299-6333

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1700282399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 NW S RIVER DR",
            "address_2": "D 410",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331667447",
            "telephone_number": "305-825-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 NW S RIVER DR",
            "address_2": "D 410",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331667447",
            "telephone_number": "305-825-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES",
        "first_name": "DAMARIS",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9293928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medley, FL

Sources for this page

Verify at the official NPI Registry.