Individual provider Active NPI

Abdiel Pargas Rodriguez, APRN

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1053021709
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11019156 Issued in FL
Practice address
3659 S Miami Ave Ste 6008
Miami, FL 33133-4221
Phone
(305) 856-6555
Fax
(305) 856-6556
NPI assigned
Dec 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11019156 FL Primary

Addresses

Primary practice location

3659 S Miami Ave Ste 6008
Miami, FL 33133-4221

Mailing address

5220 Summerlin Commons Blvd FL 4
Fort Myers, FL 33907-2149
Phone (239) 232-1180

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
I20221220002782 FL Practitioner - Nurse Practitioner 3678943362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aqua Dermatology of Florida, PAGroup PAC ID 1153390414, 184 clinicians

Practice addresses (Care Compare)

3659 S Miami Ave
Suite 6008
Miami, FL 33133-4221
Phone (305) 856-6555

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11019156FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aqua Dermatology of Florida, PA CurrentSince Jan 3, 2023 Accepting new patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince Jan 3, 2023 Accepting new patients

Locations

1880 W Hillsboro Blvd
Ste A
Deerfield Beach, FL 33442
Phone (954) 426-3494

3659 S Miami Ave
Ste 6006
Miami, FL 33133
Phone (305) 856-1461

3659 S Miami Ave
Ste 6008
Miami, FL 33133
Phone (305) 854-5432

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

900 Village Square Xing
Ste 290
West Palm Beach, FL 33410
Phone (239) 313-2517

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": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1053021709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 SUMMERLIN COMMONS BLVD FL 4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072149",
            "telephone_number": "239-232-1180",
            "fax_number": "239-666-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3659 S MIAMI AVE STE 6008",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334221",
            "telephone_number": "305-856-6555",
            "fax_number": "305-856-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARGAS RODRIGUEZ",
        "first_name": "ABDIEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11019156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.