Maria Teresa Valdes, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME53283 Issued in FL

Practice address

774 Sr 13 North
Suite 6
St Johns, FL 32259-3815

Phone

(904) 786-9600

Fax

(904) 786-6036

NPI assigned

Apr 28, 2006

Last updated

Jan 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Children First Pediatrics, PA

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1427206002
  Authorized official Same address or phone
• Angel Kids PA

  dba Angel Kids Pediatrics

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1033785001
  NPD (past)
• Angel Kids PA

  • Primary Care Clinic/Center
  • Jacksonville, FL
  • NPI 1124162854
  NPD (past)
• Angel Kids PA

  dba Angel Kids Pediatrics

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1174199137
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1801853056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 SR 13 NORTH",
            "address_2": "SUITE 6",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322593815",
            "telephone_number": "904-786-9600",
            "fax_number": "904-786-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 SR 13 NORTH",
            "address_2": "SUITE 6",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322593815",
            "telephone_number": "904-786-9600",
            "fax_number": "904-786-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES",
        "first_name": "MARIA",
        "middle_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME53283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "251137748",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4261158",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "09536",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "213518",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith C Tyree, PHARMD
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• Urgent Care Cure LLC
• Vassil I Valov, DC
• Chase Daniel Vanderpol, D.C.
• Shelly Vann, LAT, ATC
• Adriana Marie Vargas-Acevedo, BS
• Amanda Taylor Vaughn, RBT

• Pediatrics Physician in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.