Individual ProviderDalila Del Valle CalzadillaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address11339 SW 167th Ter, Miami, FL 33157-2736(786) 774-2229PECOS EnrollmentBased on the most recent information from CMS, provider Dalila Del Valle Calzadilla is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1700628732Provider TypeIndividualFull NameDel Valle Calzadilla, DalilaCredentialAPRNGenderFemaleSole ProprietorYesEnumeration Date6/11/2024Last Updated6/11/2024Contact InformationPractice LocationPractice Address11339 SW 167th Ter, Miami, FL 33157-2736Phone(786) 774-2229FaxUnlisted FaxMailing LocationMailing Address11339 SW 167th Ter, Miami, FL 33157-2736Phone(786) 774-2229FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense11030488Florida