Healthcare Provider Details

I. General information

NPI: 1376459537
Provider Name (Legal Business Name): VALUXO MED SPA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15576 SW 72ND ST
MIAMI FL
33193-1922
US

IV. Provider business mailing address

15576 SW 72ND ST
MIAMI FL
33193-1922
US

V. Phone/Fax

Practice location:
  • Phone: 786-896-2555
  • Fax: 305-938-0800
Mailing address:
  • Phone: 786-896-2555
  • Fax: 305-938-0800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. LEIDYS RODRIGUEZ
Title or Position: PRES/OWNER
Credential: APRN
Phone: 786-896-2555