Valladares, Eric Raul

Valladares, Eric Raul is an individual health care provider with primary practice located at 2660 Sw 3Rd St , Miami FL 33135-1415. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Valladares, Eric Raul can be contacted via phone (305) 631-5355.

Contact Information

Primary practice address
2660 Sw 3Rd St Miami FL 33135-1415
Phone: (305) 631-5355
Fax: (305) 631-5354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD91049 Florida

Profile Details

NPI number 1114990983
LBN Legal business name Valladares, Eric Raul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated May 1st, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114990983 NPPES
Florida MEDICAID 274700600

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