Individual provider Active NPI

Gustavo L Rodriguez, ARNP-FNP-C

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1013482058
Registry record updated Nov 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9368137 Issued in FL
Practice address
1066 NE 85TH St
Miami, FL 33138-3426
Phone
(305) 491-6124
Fax
(954) 431-8153
NPI assigned
Oct 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 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 ARNP9368137 FL Primary

Addresses

Primary practice location

1066 NE 85TH St
Miami, FL 33138-3426

Mailing address

1066 NE 85TH St
Miami, FL 33138-3426
Phone (305) 491-6124

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
I20210715001684 FL Practitioner - Nurse Practitioner 4486056207 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9368137FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Physicians of South Florida LLC CurrentSince Jul 1, 2024 Accepting new patients
Kerod Medical Services Inc CurrentSince Mar 4, 2021 Accepting new patients

Locations

955 NW 3rd St
Miami, FL 33128
Phone (305) 416-5700

8600 SW 92nd St
Ste 204A
Miami, FL 33156
Phone (305) 436-9933

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

10794 Pines Blvd
Ste 205
Pembroke Pines, FL 33026
Phone (954) 538-8543

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764201600000",
    "number": "1013482058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 NE 85TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331383426",
            "telephone_number": "305-491-6124",
            "fax_number": "305-391-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 NE 85TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331383426",
            "telephone_number": "305-491-6124",
            "fax_number": "954-431-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GUSTAVO",
        "middle_name": "L",
        "credential": "ARNP-FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-05",
        "last_updated": "2025-11-27",
        "certification_date": "2025-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9368137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.