Healthcare Provider Details

I. General information

NPI: 1922641398
Provider Name (Legal Business Name): MARIA VICTORIA CASAINE RODRIGUEZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2019
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 REGIONAL DR
PINEHURST NC
28374-8850
US

IV. Provider business mailing address

15 REGIONAL DR
PINEHURST NC
28374-8850
US

V. Phone/Fax

Practice location:
  • Phone: 910-255-4400
  • Fax:
Mailing address:
  • Phone: 939-775-3194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2024-01289
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: