MEDICARE: MILEYDIS RODRIGUEZ DEFINO APRN, FNP-C

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	363L00000X	Nurse Practitioner	1069437	TX

General Provider Information

NPI Number	:	1700741329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILEYDIS RODRIGUEZ DEFINO APRN, FNP-C

Provider Business Mailing Address
First Line	:	8787 WOODWAY DR APT 10303
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-2449
Country	:	US
Telephone Number	:	832-815-2821
Fax Number	:

Provider Business Practice Location Address
First Line	:	8787 WOODWAY DR APT 10303
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-2449
Country	:	US
Telephone Number	:	832-815-2821
Fax Number	:

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

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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