Individual provider Active NPI

Maria De Los Angeles Valdivia, MD

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1962509562
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME38920 Issued in FL
Practice address
1393 SW 1St St
320
Miami, FL 33135-2321
Phone
(305) 644-0977
Fax
(305) 644-0977
NPI assigned
Sep 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME38920 FL Primary

Addresses

Primary practice location

1393 SW 1St St
320
Miami, FL 33135-2321

Mailing address

1393 SW 1St St
320
Miami, FL 33135-2321
Phone (305) 644-0977

Other identifiers 1

IdentifierTypeStateIssuer
065844800MedicaidFL

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
I20100503000495 FL Practitioner - General Practice 3173651726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Maria a. Valdivia P.a. General Practice PastSince Mar 18, 2013 Accepting new patients

Organizations & group practices 1

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": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1962509562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1393 SW 1ST ST",
            "address_2": "320",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352321",
            "telephone_number": "305-644-0977",
            "fax_number": "305-644-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 SW 1ST ST",
            "address_2": "320",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352321",
            "telephone_number": "305-644-0977",
            "fax_number": "305-644-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDIVIA",
        "first_name": "MARIA",
        "middle_name": "DE LOS ANGELES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-19",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME38920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065844800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.