Mairelys Rodriguez, DMD,MSD, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN 16432 Issued in FL

Practice address

5323 W 20TH Ave
Hialeah, FL 33012-2100

Phone

(305) 556-5966

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Marrecau Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Coral Springs, FL
  • NPI 1447494315
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1124149844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 S POST RD",
            "address_2": "APARTMENT 204",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313580",
            "telephone_number": "954-253-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 W 20TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122100",
            "telephone_number": "305-556-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MAIRELYS",
        "name_prefix": "Dr.",
        "credential": "DMD,MSD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS035884",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN 16432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Jacomino Rodriguez, D.M.D., M.S.
• Madileidys Rodriguez
• Magali A Rodriguez
• Maidelis Rodriguez, BEHAVIOR TECHNICIAN
• Mailin Rodriguez
• Manuel Rodriguez
• Marcia Cecilia Rodriguez
• Margarita Ernestina Rodriguez
• Maria Alejandra Rodriguez
• Maria Antonia Rodriguez

• Orthodontics and Dentofacial Orthopedics Dentistry in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.