Ronald Rodriguez, SURGICAL ASSISTANT

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

10300 SW 40TH St Apt 217
Miami, FL 33165-4539

Phone

(786) 799-0268

NPI assigned

Dec 11, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Prime Surgical Care LLC

  • Surgical Physician Assistant
  • Miami, FL
  • NPI 1881498871
  NPD Authorized official

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1053128215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18040 SW 107TH AVE UNIT 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331575298",
            "telephone_number": "786-799-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW 40TH ST APT 217",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654539",
            "telephone_number": "786-799-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RONALD",
        "credential": "SURGICAL ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-11",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "24-448",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "22-448",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert John Soza Rodriguez
• Roberto Rodriguez
• Roberto Rodriguez
• Roberto Ivan Rodriguez I
• Rodolfo Rodriguez, RBT
• Rosa Rodriguez
• Rosa Teresa Rodriguez
• Rosalyn Rodriguez
• Rosana Rodriguez, MD
• Rosendo Ernesto Rodriguez, M.D.

• Surgical Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.