Individual provider Active NPI

Raul Ulloa Valladares, MD

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1922574185
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME149179 Issued in FL
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

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211113000065 FL Practitioner - PsychiatryPractitioner - General Practice 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 Inc 12 clinicians
Progressive Medical Center Inc 7 clinicians
NCC Wellness Services LLC 3 clinicians
Agape Network, Inc. 6 clinicians
Universal Mental Center Corp 2 clinicians
Ahn LLC 3 clinicians
L and L Social Services LLC 6 clinicians
Novo Medical Group LLC 8 clinicians
La Sagrada Familia Medical Center Inc 14 clinicians
Better Choice Medical Center Inc. 5 clinicians
Miami Dade Medical and Rehabilitation Center Corp. 8 clinicians

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

OrganizationSpecialtyStatusNew patients
Asisa Health Services Corp CurrentSince Nov 1, 2023 Accepting new patients
Better Choice Medical Center Inc CurrentSince Sep 2, 2025 Accepting new patients
True Life Behavioral Network, Inc CurrentSince Sep 21, 2023 Accepting new patients
Ahn LLC CurrentSince Aug 8, 2023 Accepting new patients
Miami Dade Medical and Rehabilitation Center Corp CurrentSince Jul 1, 2025 Accepting new patients
Agape Network, Inc. CurrentSince Dec 5, 2022 Accepting new patients
Agape Network, Inc. CurrentSince Dec 5, 2022 Accepting new patients
Supra Medical Group II, LLC CurrentSince Sep 23, 2024 Accepting new patients
Universal Mental Center Corp CurrentSince Aug 1, 2024 Accepting new patients
NCC Wellness Services LLC CurrentSince Jan 15, 2026 Accepting new patients
L & L Social Services LLC CurrentSince Feb 9, 2026 Accepting new patients
Ulloa Mental Health Inc CurrentSince Aug 14, 2022 Accepting new patients
Novo Medical Group LLC CurrentSince Jun 1, 2025 Accepting new patients
Neuromuscular Physical Therapy, Inc PastSince Apr 15, 2024 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.

View all 18

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

Verify at the official NPI Registry.