| Ivette Valle Md Pa | |
|
1435 W 49th Pl Suite 400-a Hialeah FL 33012-3197 | |
| (305) 818-5637 | |
| (305) 818-5639 |
| Full Name | Ivette Valle Md Pa |
|---|---|
| Speciality | Pediatrics |
| Location | 1435 W 49th Pl, Hialeah, Florida |
| Authorized Official Name and Position | Ivette Valle (OWNER) |
| Authorized Official Contact | 3058185637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivette Valle Md Pa 1435 W 49th Pl Suite 400-a Hialeah FL 33012-3197 Ph: (305) 818-5637 | Ivette Valle Md Pa 1435 W 49th Pl Suite 400-a Hialeah FL 33012-3197 Ph: (305) 818-5637 |
| NPI Number | 1497936876 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 04/15/2014 |
| Medicare PECOS PAC ID | 4183702681 |
|---|---|
| Medicare Enrollment ID | O20080424000260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497936876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
| Provider Name | Ivette Valle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831197623 PECOS PAC ID: 6002903895 Enrollment ID: I20071025000437 |
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