Rogelio Gonzalez Rodriguez

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

Practice address

9900 SW 107TH Ave Ste 101
Miami, FL 33176-2798

Phone

(305) 964-5381

NPI assigned

May 13, 2021

Sex

Male

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16044/brand/1/csg/1/fhir/r4

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.

• Novus Community Services, LLC

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1376158485
  NPD
• Novus Community Services, LLC

  • Behavior Analyst
  • Miami, FL
  • NPI 1982471983
  NPD

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1164096244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23037 SW 108TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331707538",
            "telephone_number": "786-728-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 SW 107TH AVE STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762798",
            "telephone_number": "305-964-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ RODRIGUEZ",
        "first_name": "ROGELIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Gonzalez Rodriguez
• Monica Gonzalez Rodriguez
• Norma Yanela Gonzalez Rodriguez
• Osnel Gonzalez Rodriguez
• Patricia Maria Gonzalez Rodriguez
• Saily Gonzalez Rodriguez
• Taileydi Gonzalez Rodriguez
• Walter Ovidio Gonzalez Rodriguez, PTA
• Yailin Gonzalez Rodriguez, SA-C
• Yanelis Gonzalez Rodriguez

• Corporate Health Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Corporate Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.