Active NPI
Juan Enrique Rodriguez, M.D., P.a.
- Psychiatry Physician
- Miami, FL
National Provider Identifier
1043430895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME13770
- Legal business name
- JUAN ENRIQUE RODRIGUEZ, M.D., P.A.
- Practice address
- 9480 SW 77TH Ave
Miami, FL 33156-7903 - Phone
- (305) 595-6695
- NPI assigned
- Apr 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Juan Enriques Rodriguez, M.D.
- Title
- President
- Phone
- (305) 595-6695
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | ME13770 | FL | |
| Psychiatry Physician | 2084P0800X | ME13770 | FL | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME13770 | FL |
Addresses
Primary practice location
9480 SW 77TH Ave
Miami, FL 33156-7903
Mailing address
9480 SW 77TH Ave
Miami, FL 33156-7903
Phone (305) 595-6695
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404691200000",
"number": "1043430895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9480 SW 77TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331567903",
"telephone_number": "305-595-6695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9480 SW 77TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331567903",
"telephone_number": "305-595-6695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUAN ENRIQUE RODRIGUEZ, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"last_updated": "2014-07-07",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "ENRIQUES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-595-6695",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychoanalyst",
"state": "FL",
"license": "ME13770",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME13770",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "ME13770",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.