Individual provider Active NPI

Ileana Rosario Rodriguez

  • Certified Registered Nurse Anesthetist
  • San Juan, PR
National Provider Identifier
1144898065
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
11004439 Issued in FL
Practice address
Carr. 21 Num. 1785
Ave. Las Lomas #21
San Juan, PR 00687
Phone
(787) 782-9999
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 11004439 FL Primary

Addresses

Primary practice location

Carr. 21 Num. 1785
Ave. Las Lomas #21
San Juan, PR 00687

Mailing address

HC 2 Box 6388
Morovis, PR 00687-8830
Phone (787) 236-3905

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210810000512 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820492150 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams National LLCGroup PAC ID 3870813025, 310 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Phone (863) 703-2886

5115 US Hwy 27 N
Suite 220
Sebring, FL 33870-1323
Phone (863) 593-7207

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
11004439FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Single Specialty CurrentSince Dec 20, 2025 Accepting new patients
Anesthesia Medicine Services of FL, LLC Single Specialty CurrentSince Apr 1, 2023 Accepting new patients

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

6700 Lake Nona Blvd
Orlando, FL 32827
Phone (689) 216-8000

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

5115 US 27 N
Ste 220
Sebring, FL 33870
Phone (863) 381-8157

7405 US 27 N
Sebring, FL 33870
Phone (863) 658-0496

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1144898065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 6388",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006878830",
            "telephone_number": "787-236-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 21 NUM. 1785",
            "address_2": "AVE. LAS LOMAS #21",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00687",
            "telephone_number": "787-782-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO RODRIGUEZ",
        "first_name": "ILEANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "11004439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.