Valladares Gonzalez, Manuel

Valladares Gonzalez, Manuel is an sole proprietor health care provider with primary practice located at 15700 Nw 67Th Ave Ste 102 , Miami Lakes FL 33014-2112. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Valladares Gonzalez, Manuel can be contacted via phone (786) 434-5987.

Contact Information

Primary practice address
15700 Nw 67Th Ave Ste 102 Miami Lakes FL 33014-2112
Phone: (786) 434-5987
Fax: (786) 434-5988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11039712 Florida

Profile Details

NPI number 1164803078
LBN Legal business name Valladares Gonzalez, Manuel
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2015
Last updated Jun 24th, 2025 - about last year

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 1164803078 NPPES
Florida MEDICAID 127290200

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