Richard G Valenzuela MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME116272 Issued in FL

Legal business name

RICHARD G VALENZUELA MD PA

Practice address

348 NE Methodist Ter
Suite 101
Lake City, FL 32055-3408

Phone

(386) 755-4007

NPI assigned

Jul 30, 2013

Organization subpart

No

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

Authorized official

Name

Richard G Valenzuela, MD

Title

Sole Propriertor

Phone

(386) 755-4007

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7564/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1790117984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 NE METHODIST TER",
            "address_2": "SUITE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553408",
            "telephone_number": "386-755-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 NE METHODIST TER",
            "address_2": "SUITE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553408",
            "telephone_number": "386-755-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD G VALENZUELA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "VALENZUELA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SOLE PROPRIERTOR",
        "authorized_official_telephone_number": "386-755-4007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME116272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Ariel Reynolds
• Tracy Rhoden
• Cathy Rhodes, LMT
• Arlana Rice
• Tameika Rice
• Richard Weizenecker, M.D., P.a.
• Ashley May Richardson, COTA
• Tiffany S Richardson, MSW
• Thomas Ricks
• Melissa Kay Riddle

• Specialist in Lake City, FL
• Providers in Lake City, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.