Healthcare Provider Details

I. General information

NPI: 1023976958
Provider Name (Legal Business Name): VALENTINA RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 W AVENUE F
MIDLOTHIAN TX
76065-2927
US

IV. Provider business mailing address

5241 SW 163RD CT
MIAMI FL
33185-5179
US

V. Phone/Fax

Practice location:
  • Phone: 469-612-3826
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1243677
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11044770
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: