Individual provider Active NPI

Rodolfo Valentin Valdes Landaburo

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1598436305
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11015433 Issued in FL
Practice address
1411 N Flagler Dr Ste 5600
West Palm Beach, FL 33401-3412
Phone
(561) 659-6543
NPI assigned
Sep 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11015433 FL Primary

Addresses

Primary practice location

1411 N Flagler Dr Ste 5600
West Palm Beach, FL 33401-3412

Mailing address

1411 N Flagler Dr Ste 5600
West Palm Beach, FL 33401-3412
Phone (561) 659-6543

Other practice location 1

3401 Pga Blvd Ste 500
Palm Beach Gardens, FL 33410-2825
Phone (561) 659-6543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220630001300 FL Practitioner - Nurse Practitioner 3678953114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3401 Pga Blvd
Suite 500
Palm Beach Gardens, FL 33410-2825
Phone (561) 659-6543

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11015433FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Provider Network Inc CurrentSince Jun 20, 2022 Accepting new patients
Tampa General Provider Network Inc CurrentSince Jun 20, 2022 Accepting new patients
Tampa General Provider Network Inc Past Accepting new patients

Locations

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

3401 Pga Blvd
Ste 500
West Palm Bch, FL 33410
Phone (561) 659-6543

1201 N Olive Ave
West Palm Beach, FL 33401
Phone (561) 621-0012

2001 N Flagler Dr
West Palm Beach, FL 33407
Phone (561) 659-6543

1411 N Flagler Dr
Ste 5600
West Palm Beach, FL 33401
Phone (561) 659-6543

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1598436305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR STE 5600",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013412",
            "telephone_number": "561-659-6543",
            "fax_number": "561-659-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR STE 5600",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013412",
            "telephone_number": "561-659-6543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Pga Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334102825",
            "country_code": "US",
            "telephone_number": "561-659-6543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDES LANDABURO",
        "first_name": "RODOLFO",
        "middle_name": "VALENTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-22",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11015433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.