Healthcare Provider Details

I. General information

NPI: 1477065431
Provider Name (Legal Business Name): YUSELYS VALDES RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2017
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21431 SW 88TH AVE
CUTLER BAY FL
33189-3767
US

IV. Provider business mailing address

21431 SW 88TH AVE
CUTLER BAY FL
33189-3767
US

V. Phone/Fax

Practice location:
  • Phone: 305-720-0002
  • Fax:
Mailing address:
  • Phone: 305-720-0002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-18-70591
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: