Marlon Rodriguez Fajes

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11033864 Issued in FL

Practice address

4591 SW 151St PL
Miami, FL 33185-4365

Phone

(786) 343-5161

NPI assigned

Jul 29, 2024

Last updated

Nov 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Miguel a Flores MD PAGroup PAC ID 4880652601, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008
• Homestead Hospital Hospital, Homestead, FL, CCN 100125

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Miguel a Flores MD PA

  • Specialist
  • Miami, FL
  • NPI 1386663250
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932
  Medicare reassignment Care Compare group
• Axis Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
  • NPI 1154251148
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Hospital of Miami Inc

  dba Baptist Hospital

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1528042884
  Care Compare affiliation
• Homestead Hospital, Inc.

  dba Homestead Hospital

  • General Acute Care Hospital
  • Homestead, FL
  • NPI 1578547865
  Care Compare affiliation

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1053140012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4591 SW 151ST PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854365",
            "telephone_number": "786-343-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4591 SW 151ST PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854365",
            "telephone_number": "786-343-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ FAJES",
        "first_name": "MARLON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11033864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Ernesto Rodriguez Escobar
• Yeline Rodriguez Espinosa
• Melissa Rodriguez Estopinan
• Ana Aurora Rodriguez Estrada
• Rudy Rodriguez Ezcurdia
• Sabrina Rodriguez Falcon
• Ariel Rodriguez Farramola
• Boris Rodriguez Fernandez, CRNA
• Gleidys Rodriguez Fernandez
• Mildrey Rodriguez Fernandez

• Psychiatric/Mental Health Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.