Individual provider Active NPI

Eduardo Valladares, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1912509209
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11009638 Issued in FL
Practice address
2100 NW 107TH Ave
Ste 108
Miami, FL 33172-2506
Phone
(786) 625-7100
Fax
(786) 625-7111
NPI assigned
Nov 11, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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 11009638 FL Primary

Addresses

Primary practice location

2100 NW 107TH Ave
Ste 108
Miami, FL 33172-2506

Mailing address

16321 SW 76TH St
Miami, FL 33193-3446
Phone (786) 625-7100

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
I20221214002861 FL Practitioner - Nurse Practitioner 5193194116 Reassigns benefits to 2 organizations
Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arrazola Health Center IncGroup PAC ID 4981980174, 4 clinicians

Practice addresses (Care Compare)

Miami, FL 33193
Phone (786) 800-4567

13550 SW 88TH St
Suite 206
Miami, FL 33186-1513
Phone (305) 245-9222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11009638FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arrazola Health Center Inc CurrentSince Apr 8, 2024 Accepting new patients
Valladares Health Services Inc CurrentSince Feb 1, 2025 Accepting new patients

Locations

13550 SW 88th St
Ste 206
Miami, FL 33186
Phone (305) 245-9222

Organizations & group practices 2

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": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1912509209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16321 SW 76TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933446",
            "telephone_number": "786-625-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NW 107TH AVE",
            "address_2": "STE 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331722506",
            "telephone_number": "786-625-7100",
            "fax_number": "786-625-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLADARES",
        "first_name": "EDUARDO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-11",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.