Individual provider Active NPI

Jorge Javier Rodriguez, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1154048486
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11022463 Issued in FL
Practice address
4100 NW 9TH St Ste 100
Miami, FL 33126-3678
Phone
(305) 301-6516
Fax
(305) 642-0530
NPI assigned
Oct 26, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11022463 FL Primary

Addresses

Primary practice location

4100 NW 9TH St Ste 100
Miami, FL 33126-3678

Mailing address

7530 W 14TH Ave
Hialeah, FL 33014-3408
Phone (305) 301-6516

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11022463FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Josefina F Tur MD PA CurrentSince Oct 30, 2022 Accepting new patients

Locations

4100 NW 9th St
Ste 100
Miami, FL 33126
Phone (305) 301-6516

Organizations & group practices 1

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": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1154048486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 W 14TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143408",
            "telephone_number": "305-301-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 NW 9TH ST STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263678",
            "telephone_number": "305-301-6516",
            "fax_number": "305-642-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JORGE",
        "middle_name": "JAVIER",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11022463",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 26, 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.

Verify at the official NPI Registry.