Rodolfo C. Valenzuela LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

RODOLFO C. VALENZUELA LLC

Doing business as

rodolfo C. Valenzuela, LLC

Practice address

18302 Ashmeade Rd
Boyds, MD 20841-4387

Phone

(240) 328-9784

NPI assigned

Jun 29, 2014

Last updated

Jan 27, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rodolfo C. Valenzuela, M.D,S.A.

Title

Surgical Assistant

Phone

(240) 328-9784

Specialties & licenses 1

Addresses

Other names 1

• rodolfo C. Valenzuela, LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1033524988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18302 ASHMEADE RD",
            "city": "BOYDS",
            "state": "MD",
            "postal_code": "208414387",
            "telephone_number": "240-328-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18302 ASHMEADE RD",
            "city": "BOYDS",
            "state": "MD",
            "postal_code": "208414387",
            "telephone_number": "240-328-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODOLFO C. VALENZUELA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-29",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "VALENZUELA",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "240-328-9784",
        "authorized_official_credential": "M.D,S.A."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "rodolfo C. Valenzuela, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surgical Physician Assistant in Boyds, MD
• Providers in Boyds, MD by specialty
• Surgical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.