RODOLFO C. VALENZUELA LLC (NPI# 1033524988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033524988 |
| Entity Type | Organization |
| Organization Name | RODOLFO C. VALENZUELA LLC |
| Other Organization Name | RODOLFO C. VALENZUELA, LLC |
| Practice Address |
18302 Ashmeade Rd Boyds MD 20841-4387 |
| Practice Telephone | 2403289784 |
| Mailing Telephone | 2403289784 |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2016-01-27 |
| Authorized Official Name | RODOLFO C. VALENZUELA (SURGICAL ASSISTANT) |
| Authorized Official Telephone | 2403289784 |
| Authorized Official Credential | M.D,S.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| rodolfo C. Valenzuela, LLC | Doing Business As Name - Organization |
| Street Address |
18302 ASHMEADE RD |
| City | BOYDS |
| State | MD |
| Zip Code | 20841-4387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932637055 | Ten Ten Counseling, LLC | Social Worker | 17320 Moore Road, Boyds, MD 20841 | 2017-06-02 |
| 1598184301 | Koffi Jamil Sowe | Social Worker | 22880 Whelan Lane, Boyds, MD 20841 | 2014-04-09 |
| 1306265194 | Pedro Aybar | Counselor | 22830 Whelan Lane., Boyds, MD 20841 | 2014-04-09 |
| 1215041082 | Stanley Robert Manstof | Dentist | 12201 Greenridge Drive, Boyds, MD 20841 | 2006-08-18 |
| 1831566801 | Synergy Rehab Center LLC | Clinic/Center | 12827 Gorman Cir, Boyds, MD 20841-2021 | 2015-08-26 |
| 1588710479 | Patricia Anne Mckinley | Registered Nurse | 14507 Anchor Ln, Boyds, MD 20841-4007 | 2007-01-25 |
| 1063994598 | Three Points Inc T/a Capital Area Transport Service | Non-emergency Medical Transport (VAN) | 12411 Rosecrest Dr, Boyds, MD 20841-4103 | 2018-08-31 |
| 1760882799 | Letitia Dawn Conrad | Social Worker | 1 Ivy Leaf Ct, Boyds, MD 20841-4112 | 2014-08-27 |
| 1922520063 | Maryland Foot & Ankle Reconstruction Group LLC | Podiatrist | 14301 Autumn Gold Rd, Boyds, MD 20841-4208 | 2017-07-11 |
| 1831311703 | Azita Moazzez | Physical Therapist | 14411 Bubbling Spring Rd, Boyds, MD 20841-4304 | 2007-05-02 |
| Find all providers in zip 20841 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205475803 | Kendy Karenys Lopez | Physician Assistant | 18324 Streamside Dr Apt 204, Gaithersburg, MD 20879-5228 | 2019-12-30 |
| 1528619640 | Cindy Pham | Physician Assistant | 7515 Oyster Bay Way, Gaithersburg, MD 20886-5905 | 2019-09-20 |
| 1508336637 | Victor Orlando Hernandez | Physician Assistant | 125 Potomac Psge Unit 200, Oxon Hill, MD 20745-1580 | 2018-12-02 |
| 1164905824 | Surgical Focus LLC | Physician Assistant | 5550 Friendship Blvd Ste 100, Chevy Chase, MD 20815-7294 | 2018-09-10 |
| 1912497173 | Gem Y Walker Lawson | Physician Assistant | 6500 Rock Spring Dr Ste 100, Bethesda, MD 20817-1182 | 2018-05-14 |
| 1306341540 | Sunil Harris | Physician Assistant | 22 S. Green St, University of Maryland Medical Center, Baltimore, MD 21201-1595 | 2018-03-29 |
| 1134639263 | Liz Ramirez | Physician Assistant | 1101 E 33rd St, Baltimore, MD 21218-3637 | 2017-10-03 |
| 1093231755 | Daniel Gentry | Physician Assistant | 301 Saint Paul St Ste Pob 802, Baltimore, MD 21202-2102 | 2017-08-15 |
| 1467981431 | Lana E Grubb | Physician Assistant | 12502 Willowbrook Rd Ste 470, Cumberland, MD 21502-6593 | 2017-06-05 |
| 1174051353 | Nam Anh Pham | Physician Assistant | 227 Saint Paul St Fl 6, Baltimore, MD 21202-2001 | 2017-05-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.