Provider Demographics
NPI:1962294801
Name:VALLADARES, GABRIELLA (DMD)
Entity type:Individual
Prefix:DR
First Name:GABRIELLA
Middle Name:
Last Name:VALLADARES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 NW SOUTH RIVER DR APT 33
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-2757
Mailing Address - Country:US
Mailing Address - Phone:305-458-4016
Mailing Address - Fax:
Practice Address - Street 1:3120 N MIAMI AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33127-3718
Practice Address - Country:US
Practice Address - Phone:786-724-0418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program