Individual provider Active NPI

Alberto Rodriguez, P.A-C

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1144233685
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9100842 Issued in FL
Practice address
10860 SW 88St Suite 200
Miami, FL 33176-2680
Phone
(305) 595-1300
Fax
(305) 595-5790
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9100842 FL Primary
Surgical Physician Assistant 363AS0400X PA9100842 FL

Addresses

Primary practice location

10860 SW 88St Suite 200
Miami, FL 33176-2680

Mailing address

10860 SW 88St Suite 200
Miami, FL 33176-2680
Phone (305) 595-1300

Other identifiers 2

IdentifierTypeStateIssuer
291527800MedicaidFL
U0019OtherFLPTAN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040228000030 FL Practitioner - Physician Assistant 2466349105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10300 SW 72 St
Miami, FL 34741-4901

2600 Westhall Lane
Box 300
Maitland, FL 32751

4815 Sweetgrass PL
Suite 201
Jacksonville, FL 32224-0130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9100842FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Avecina Medical, PA CurrentSince Apr 21, 2025 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Physician Assistant CurrentSince Oct 29, 2017 Accepting new patients
Avecina Medical, PA CurrentSince Apr 21, 2025 Accepting new patients
Adventist Health System/Sunbelt, Inc. Physician Assistant CurrentSince Oct 29, 2017 Accepting new patients
Healthcare Surgical Services, Inc. Surgical Past Accepting new patients
Robert a. Norman, D.O., P.a. PastSince Mar 1, 2024 Accepting new patients
Avecina Medical PA Past Accepting new patients
Robert a. Norman, D.O., P.a. Past Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

4815 Sweetgrass Pl
Unit 201
Jacksonville, FL 32224
Phone (904) 367-3372

9580 Applecross Rd
Ste 106
Jacksonville, FL 32222
Phone (904) 778-9180

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

1633 Race Track Rd
Ste 101
St Johns, FL 32259
Phone (904) 230-6988

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1144233685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10860 SW 88ST SUITE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762680",
            "telephone_number": "305-595-1300",
            "fax_number": "305-275-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10860 SW 88ST SUITE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762680",
            "telephone_number": "305-595-1300",
            "fax_number": "305-595-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ALBERTO",
        "credential": "P.A-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9100842",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9100842",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291527800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "U0019",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.