Healthcare Provider Details

I. General information

NPI: 1700741329
Provider Name (Legal Business Name): MILEYDIS RODRIGUEZ DEFINO APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8787 WOODWAY DR APT 10303
HOUSTON TX
77063-2449
US

IV. Provider business mailing address

8787 WOODWAY DR APT 10303
HOUSTON TX
77063-2449
US

V. Phone/Fax

Practice location:
  • Phone: 832-815-2821
  • Fax:
Mailing address:
  • Phone: 832-815-2821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1069437
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: