Individual provider Active NPI

Juan Carlos Valdes

  • Rehabilitation Clinic/Center
  • Miami, FL
National Provider Identifier
1871881839
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
MA57884 Issued in FL
Practice address
12595 SW 137TH Ave
Suite #101
Miami, FL 33186-4220
Phone
(786) 581-9064
Fax
(786) 581-9172
NPI assigned
Jul 12, 2011
Last updated
Jul 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X MA57884 FL Primary

Addresses

Primary practice location

12595 SW 137TH Ave
Suite #101
Miami, FL 33186-4220

Mailing address

12595 SW 137TH Ave
Suite #101
Miami, FL 33186-4220
Phone (786) 581-9064

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA57884FLMDRehabilitation Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1871881839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12595 SW 137TH AVE",
            "address_2": "SUITE #101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864220",
            "telephone_number": "786-581-9064",
            "fax_number": "786-581-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12595 SW 137TH AVE",
            "address_2": "SUITE #101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864220",
            "telephone_number": "786-581-9064",
            "fax_number": "786-581-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "MA57884",
            "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 Jul 12, 2011; 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.