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JUVENTUD DERMATOLOGY PLLC
NPI 1831021062
Clinic/Center in Richland, WA

Active since June 02, 2026
140 GAGE BLVD STE 100, RICHLAND, WA 99352(509) 430-8102(509) 267-2833 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Juventud Dermatology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUVENTUD DERMATOLOGY PLLC (NPI 1831021062) is a healthcare organization registered as a clinic/center in Richland, Washington and active in the NPI registry since June 2026. The organization lists Christina Rodriguez, Nurse Practitoner, as its authorized official.

NPPES Registry Identity

NPI1831021062
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJUVENTUD DERMATOLOGY PLLC
Location Address140 GAGE BLVD STE 100Richland, WA 99352-8916
Mailing Address1033 Sunhaven PlRichland, WA 99352-9535 · (509) 430-8102 · Fax (509) 267-2833
Phone(509) 430-8102
Fax(509) 267-2833
Organization SubpartNo
Authorized OfficialChristina RodriguezNurse Practitoner · (509) 430-8102
Enumeration DateJune 2, 2026
NPPES CertifiedJune 1, 2026
✔ NPI 1831021062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

140 GAGE BLVD STE 100, Richland, WA 99352
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Frequently Asked Questions

What is JUVENTUD DERMATOLOGY PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1831021062, enumerated as an "organization" on June 02, 2026.

Where is the provider located?

The provider is located at 140 GAGE BLVD STE 100 RICHLAND, WA 99352 and the phone number is (509) 430-8102.

What is the provider's specialty?

Clinic/Center with taxonomy code 261Q00000X.