SIMON E VALLADARES (NPI# 1467854208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467854208 |
| Entity Type | Individual |
| Full Name | SIMON E VALLADARES |
| Credential | PA-C |
| Practice Address |
11801 Sw 90th St Suite 201 Miami FL 33186-2182 |
| Mailing Address |
Po Box 198175 Atlanta GA 30384-8175 |
| Practice Telephone | 3055951317 |
| Practice Fax Number | 3052796813 |
| Mailing Telephone | 3055951317 |
| Mailing Fax Number | 3052796813 |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9108270 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | TAXPAYER IDENTIFICATION | 650667458 | 01 |
| Street Address |
11801 SW 90TH ST SUITE 201 |
| City | MIAMI |
| State | FL |
| Zip Code | 33186-2182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306844303 | Mauricio Fernando Herrera | Orthopaedic Surgery | 11801 Sw 90th St, Suite 201, Miami, FL 33186-2182 | 2005-07-13 |
| 1619321684 | Mivip Anesthesia Group LLC | Clinic/Center | 11801 Sw 90th St, Suite 202, Miami, FL 33186-2182 | 2016-04-15 |
| 1851779029 | Miami Regional Surgery Center LLC | Clinic/Center | 11801 Sw 90th St, 202, Miami, FL 33186-2182 | 2015-05-08 |
| 1275879132 | Premiercare Surgery Center of Kendall, LLC | Clinic/Center | 11801 Sw 90th St, Miami, FL 33186-2182 | 2012-12-21 |
| 1669723953 | Ce Ceballos Md, LLC | Orthopaedic Surgery | 11801 Sw 90th St, Suite 202, Miami, FL 33186-2182 | 2012-09-26 |
| 1063787042 | Montserrat Buia, M.d., P.a. | Family Medicine | 11801 Sw 90th St, 105, Miami, FL 33186-2182 | 2012-03-09 |
| 1073758371 | Felix A Stanziola, Md, Pa | Specialist | 11801 Sw 90th St, Suite 101, Miami, FL 33186-2182 | 2008-12-16 |
| 1689827206 | Oliver Tieh-shun Lee | Physician Assistant | 11801 Sw 90th St, Suite 201, Miami, FL 33186-2182 | 2008-10-28 |
| 1326230442 | Amar Dilip Rajadhyaksha | Orthopaedic Surgery | 11801 Sw 90th St, Suite 201, Miami, FL 33186-2182 | 2007-08-13 |
| 1366646077 | Liam Mccarthy | Physical Medicine & Rehabilitation | 11801 Sw 90th St, Suite 201, Miami, FL 33186-2182 | 2007-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010934 | West Kendall Medical LLC | Durable Medical Equipment & Medical Supplies | 13805 Sw 128th St Ste 201b, Miami, FL 33186 | 2020-07-16 |
| 1902446040 | Claudia Alfonso | Behavior Technician | 13838 Sw 139 Ct, Miami, FL 33186 | 2020-01-07 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1114561768 | Jami Ferrare | Nurse Practitioner | 9862 Sw 118th Ave, Miami, FL 33186 | 2019-11-06 |
| 1659913473 | Lissette Blanco | Behavior Technician | 9120 Sw 143 Ave, Miami, FL 33186 | 2019-10-14 |
| 1548819949 | Crystal Domenech | Clinic/Center | Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 | 2019-09-09 |
| 1780243931 | Amore Mental Health Corp. | Case Management | 14221 Sw 120 Street, Suite 109, Miami, FL 33186 | 2019-06-11 |
| 1639631047 | Dynasty Mental Health, Inc | Clinic/Center | 13590 Sw 134th Ave Ste 203, Miami, FL 33186 | 2019-04-03 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1245705904 | Lamberto Hernandez | Registered Nurse | 12604 Sw 119th Path, Miami, FL 33186 | 2018-10-09 |
| Find all providers in zip 33186 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003178 | Mohammed Bilal Sheikh | Physician Assistant | 2920 Ne 207th St Ste 901, Miami, FL 33180-1444 | 2020-11-04 |
| 1043820889 | Dave Norman Caldera Jr. | Physician Assistant | 5440 Sw 150th Ct, Miami, FL 33185-4012 | 2020-08-06 |
| 1003432063 | Nicole Marlene Socarras | Physician Assistant | 8585 Sunset Dr Ste 108, Miami, FL 33143-3746 | 2020-06-24 |
| 1245854504 | Laurent Augustin | Physician Assistant | 15608 Sw 112th Dr, Miami, FL 33196-4391 | 2020-06-02 |
| 1780213363 | Amanda C. Fisher | Physician Assistant | 175 Sw 7th St Ste 24082409, Miami, FL 33130-2992 | 2020-04-06 |
| 1184258279 | Ryan Walker | Physician Assistant | 175 Sw 7th St Ste 1100, Miami, FL 33130-2951 | 2020-02-27 |
| 1033749015 | Christy Anne Perez | Physician Assistant | 41 Se 5th St Apt 2215, Miami, FL 33131-2550 | 2020-01-18 |
| 1689204729 | Nathali Eiranova | Physician Assistant | 14735 Sw 36th Ter, Miami, FL 33185-3913 | 2020-01-16 |
| 1649810623 | Jeanine Marie Cuervo | Physician Assistant | 15543 Sw 55th Ter, Miami, FL 33185-4176 | 2020-01-08 |
| 1649814930 | Danette Blanco | Physician Assistant | 3930 Nw 2nd St, Miami, FL 33126-5712 | 2019-10-30 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.