Sergio Max Rodriguez Jr., MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME0058313 Issued in FL

Practice address

777 E 25 St
Ste 210
Hialeah, FL 33013

Phone

(305) 691-3505

Fax

(305) 691-4104

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Gastroenterology

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ACGACA/Endpoint/ACGACA

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.

• Sergio M Rodriguez Jr MD PA

  • Gastroenterology Physician
  • Hialeah, FL
  • NPI 1194803379
  Medicare reassignment NPD Authorized official
• Galloway Anesthesia Associates LLC

  • Anesthesiology Physician
  • Miami, FL
  • NPI 1689989139
  NPD (past)
• Maria del Carmen Valdes MD PA

  • General Practice Physician
  • Miami, FL
  • NPI 1063461762
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013941848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E 25 ST",
            "address_2": "STE 210",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33013",
            "telephone_number": "305-691-3505",
            "fax_number": "305-691-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25 ST",
            "address_2": "STE 210",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33013",
            "telephone_number": "305-691-3505",
            "fax_number": "305-691-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SERGIO",
        "middle_name": "MAX",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0058313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059599300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Marie Rodriguez
• Sandra Rodriguez
• Sandra Viviana Rodriguez
• Sarahys Rodriguez
• Sergio Rodriguez, MASSAGE THERAPIST MA
• Shabeli Rodriguez
• Silvia Rodriguez, PHARM-D
• Sissi Rodriguez
• Stephanie Rodriguez, APRN
• Stephanie Rodriguez

• Gastroenterology Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.