MEDICARE: YELENNY VALDIVIA RODRIGUEZ APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F12250323	FL

General Provider Information

NPI Number	:	1275480402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YELENNY VALDIVIA RODRIGUEZ APRN

Provider Business Mailing Address
First Line	:	5539 SW 8TH ST FL 3
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-2266
Country	:	US
Telephone Number	:	786-542-4909
Fax Number	:

Provider Business Practice Location Address
First Line	:	5539 SW 8TH ST FL 3
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-2266
Country	:	US
Telephone Number	:	786-542-4909
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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