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Rolando Gabriel Valenzuela

Emergency Medicine

Allopathic & Osteopathic Physicians

Hsc Level 4 Rm 080, Department Of Emergency Medicine, Stony Brook, NY 11794

PECOS Enrollment

This provider is enrolled in PECOS as ROLANDO VALENZUELA.

Based on the most recent information from CMS, provider Rolando Gabriel Valenzuela is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1275794885
Provider Type
Individual
Full Name
Valenzuela, Rolando Gabriel
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/17/2008
Last Updated
1/13/2023

Contact Information

Practice Location

Hsc Level 4 Rm 080, Department Of Emergency Medicine, Stony Brook, NY 11794

(631) 444-2478

(323) 226-6465

Mailing Location

436 SW 15th Rd, Miami, FL 33129-1011

(917) 439-1662

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License ME160487 Florida
Code 207P00000X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License A121092 California
Code 207P00000X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer New Jersey
Code 207P00000X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 2883733 New York
Code 207P00000X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 53074 Tennessee

Rolando Gabriel Valenzuela

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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License

Code

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Code

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