Organization Active NPI

Pedro a. Rodriguez M.D., P.a.

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1053447656
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0028664 Issued in FL
Legal business name
PEDRO A. RODRIGUEZ M.D., P.A.
Practice address
258 NE 27TH St
Miami, FL 33137-4522
Phone
(305) 573-9898
Fax
(305) 573-3711
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Authorized official

Name
Pedro A Rodriguez, M.D.NPI 1386710572
Title
President
Phone
(305) 573-9898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME0028664 FL Primary

Addresses

Primary practice location

258 NE 27TH St
Miami, FL 33137-4522

Mailing address

258 NE 27TH St
Miami, FL 33137-4522
Phone (305) 573-9898

Other identifiers 1

IdentifierTypeStateIssuer
250245300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040922000964 FL Part B Supplier - Clinic/Group Practice 1456329978 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

1295 NW 14th St
Ste L
Miami, FL 33125
Phone (305) 325-8889

258 NE 27th St
Miami, FL 33137
Phone (305) 573-9898

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1053447656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 NE 27TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374522",
            "telephone_number": "305-573-9898",
            "fax_number": "305-573-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 NE 27TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374522",
            "telephone_number": "305-573-9898",
            "fax_number": "305-573-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO A. RODRIGUEZ M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-573-9898",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0028664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250245300",
            "state": "FL"
        }
    ],
    "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 Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.