Active NPI
Raul Ulloa Valladares, MD
- Psychiatry Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME149179
- Practice address
- 22790 SW 112TH Ave
Miami, FL 33170-7602 - Phone
- (786) 678-8494
- Fax
- (305) 235-6178
- NPI assigned
- Oct 15, 2018
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME149179 | FL | Primary |
Addresses
Primary practice location
22790 SW 112TH Ave
Miami, FL 33170-7602
Mailing address
6830 SW 155TH Ave
Miami, FL 33193-2128
Phone (786) 678-8494
Other practice location 1
6830 SW 155th Ave
Miami, FL 33193-2128
Phone (786) 678-8494
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 |
|---|---|---|---|---|
| I20211113000065 | FL | Practitioner - Psychiatry | 6507255536 | Reassigns benefits to 12 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Care Mental Solutions IncProgressive Medical Center IncNCC Wellness Services LLCAgape Network, Inc.Universal Mental Center CorpAhn LLCL and L Social Services LLCNovo Medical Group LLCLa Sagrada Familia Medical Center IncBetter Choice Medical Center Inc.Miami Dade Medical and Rehabilitation Center Corp.
Practice addresses (Care Compare)
11780 SW 89TH St
Suite 201
Miami, FL 33186-2181
12595 SW 137TH Ave
Suite 110
Miami, FL 33186-4218
Phone (305) 465-9379
1886 SW 57TH Ave
Miami, FL 33155-2139
Phone (305) 791-9661
22790 SW 112TH Ave
South Florida Jail Ministries Inc
Miami, FL 33170-7602
Phone (305) 235-2616
3498 NW 7TH St
Miami, FL 33125-4014
Phone (786) 653-3719
3901 NW 79TH Ave
Suite 120
Doral, FL 33166-6554
Phone (786) 310-4480
5950 SW 40TH St
Miami, FL 33155-5202
Phone (786) 633-5960
7270 NW 12TH St
Suite 130
Miami, FL 33126-1928
Phone (305) 456-6997
7270 NW 12TH St
Suite 430
Miami, FL 33126-1941
Phone (786) 615-2843
760 NW 107TH Ave
Suite 400
Miami, FL 33172-3157
Phone (305) 551-8329
760 NW 107TH Ave
Suite 406
Miami, FL 33172-3162
Phone (786) 334-6928
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asisa Health Services Corp | Current | Accepting new patients | |
| Better Choice Medical Center Inc | Current | Accepting new patients | |
| True Life Behavioral Network, Inc | Current | Accepting new patients | |
| Ahn LLC | Current | Accepting new patients | |
| Miami Dade Medical and Rehabilitation Center Corp | Current | Accepting new patients | |
| Agape Network, Inc. | Current | Accepting new patients | |
| Agape Network, Inc. | Current | Accepting new patients | |
| Supra Medical Group II, LLC | Current | Accepting new patients | |
| Universal Mental Center Corp | Current | Accepting new patients | |
| NCC Wellness Services LLC | Current | Accepting new patients | |
| L & L Social Services LLC | Current | Accepting new patients | |
| Ulloa Mental Health Inc | Current | Accepting new patients | |
| Novo Medical Group LLC | Current | Accepting new patients | |
| Neuromuscular Physical Therapy, Inc | Past | Accepting new patients |
Locations
3901 NW 79th Ave
Ste 120
Doral, FL 33166
Phone (305) 552-7660
900 W 49th St
Ste 406
Hialeah, FL 33012
Phone (305) 587-2231
10300 Sunset Dr
Ste 101
Miami, FL 33173
Phone (305) 200-5210
5950 SW 40th St
Miami, FL 33155
Phone (786) 366-5960
1886 SW 57th Ave
Miami, FL 33155
Phone (305) 791-9661
3498 NW 7th St
Miami, FL 33125
Phone (786) 332-2392
760 NW 107th Ave
Ste 400
Miami, FL 33172
Phone (305) 551-8329
7270 NW 12th St
Ste 130A
Miami, FL 33126
Phone (305) 456-6997
22790 SW 112th Ave
Fl Jail
Miami, FL 33170
Phone (305) 235-2616
22790 SW 112th Ave
Miami, FL 33170
Phone (305) 235-2616
13500 SW 88th St
Ste 129
Miami, FL 33186
Phone (786) 628-2530
1414 NW 107th Ave
Ste 101
Sweetwater, FL 33172
Phone (305) 640-8675
Organizations & group practices 18
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.
-
- Family Medicine Physician
- Miami, FL
- NPI 1700543634
FL
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1013592195
FL
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hialeah, FL
- NPI 1124593751
FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1922574185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6830 SW 155TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331932128",
"telephone_number": "786-678-8494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22790 SW 112TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331707602",
"telephone_number": "786-678-8494",
"fax_number": "305-235-6178"
}
],
"practiceLocations": [
{
"address_1": "6830 SW 155th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331932128",
"country_code": "US",
"telephone_number": "786-678-8494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ULLOA VALLADARES",
"first_name": "RAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-15",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME149179",
"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 Dec 10, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.