Active NPI
Axel Rodriguez
- Behavior Technician
- Pembroke Pines, FL
National Provider Identifier
1073035697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 415 SW 147TH Ave
Pembroke Pines, FL 33027-6100 - Phone
- (954) 347-0308
- NPI assigned
- Jul 14, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
415 SW 147TH Ave
Pembroke Pines, FL 33027-6100
Mailing address
415 SW 147 TH Ave
Pombroke Pines, FL 33027
Phone (954) 347-0308
Other practice location 1
415 SW 147th Ave
Pembroke Pines, FL 33027-6100
Phone (954) 347-0308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1073035697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 SW 147 TH AVE",
"city": "POMBROKE PINES",
"state": "FL",
"postal_code": "33027",
"telephone_number": "954-347-0308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 SW 147TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330276100",
"telephone_number": "954-347-0308"
}
],
"practiceLocations": [
{
"address_1": "415 SW 147th Ave",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330276100",
"country_code": "US",
"telephone_number": "954-347-0308",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "AXEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.