Active NPI
Gerardo Alberto Valdes, M.D.
- Internal Medicine Physician
- Tamarac, FL
National Provider Identifier
1871573840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME84420
- Practice address
- 7101 W McNab Rd Ste 101
Tamarac, FL 33321-5351 - Phone
- (954) 722-5600
- Fax
- (954) 721-7790
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME84420 | FL | Primary |
Addresses
Primary practice location
7101 W McNab Rd Ste 101
Tamarac, FL 33321-5351
Mailing address
4796 SW 110TH Ave
Davie, FL 33328-3209
Phone (754) 333-9213
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IX725Z | Other | FL | MEDICARE |
| 020369500 | Medicaid | FL |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040717000147 | FL | Practitioner - Internal Medicine | 4789663386 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven Fields MD PA | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Hialeah, FL
- NPI 1033312590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495497600000",
"number": "1871573840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4796 SW 110TH AVE",
"city": "DAVIE",
"state": "FL",
"postal_code": "333283209",
"telephone_number": "754-333-9213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7101 W MCNAB RD STE 101",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333215351",
"telephone_number": "954-722-5600",
"fax_number": "954-721-7790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDES",
"first_name": "GERARDO",
"middle_name": "ALBERTO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2017-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME84420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IX725Z",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020369500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.