Individual provider Active NPI

Junior Armando Valdiviezo Peyran, SA-C

  • Surgical Assistant
  • Miami, FL
National Provider Identifier
1962181628
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
23-208 Issued in FL
Practice address
1201 NW 3Rd Ave Apt 507
Miami, FL 33136-2508
Phone
(772) 924-8675
NPI assigned
Jul 11, 2023
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 23-208 FL Primary

Addresses

Primary practice location

1201 NW 3Rd Ave Apt 507
Miami, FL 33136-2508

Mailing address

1201 NW 3Rd Ave Apt 507
Miami, FL 33136-2508
Phone (772) 924-8675

Other names 1

  • Junior Armando Valdiviezo Peyran Other name

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
23-208FLMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1962181628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NW 3RD AVE APT 507",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362508",
            "telephone_number": "772-924-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NW 3RD AVE APT 507",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362508",
            "telephone_number": "772-924-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDIVIEZO PEYRAN",
        "first_name": "JUNIOR",
        "middle_name": "ARMANDO",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "23-208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUNIOR",
            "last_name": "VALDIVIEZO PEYRAN",
            "middle_name": "ARMANDO",
            "credential": "ADN / SA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 11, 2023; 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.