Valenzuela, Rodolfo

Valenzuela, Rodolfo is an sole proprietor health care provider with primary practice located at 1914 E. Juan Sanchez Blvd. 2, San Luis AZ 85349-6805. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Valenzuela, Rodolfo can be contacted via phone (928) 627-2055.

Contact Information

Primary practice address
1914 E. Juan Sanchez Blvd. 2 San Luis AZ 85349-6805
Phone: (928) 627-2055
Fax: (928) 627-2456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 15970 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP1549 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9209973 Florida

Profile Details

NPI number 1740367374
LBN Legal business name Valenzuela, Rodolfo
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Jul 20th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740367374 NPPES
Arizona MEDICAID 717267

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