Active NPI
Idayli Perez Rodriguez
- General Practice Physician
- Homestead, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1086
- Practice address
- 363 S Homestead Blvd
Homestead, FL 33030-7309 - Phone
- (305) 775-9839
- NPI assigned
- Aug 28, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 019966 | PR | |
| General Practice Physician | 208D00000X | ACN1086 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 14321-I | PR |
Addresses
Primary practice location
363 S Homestead Blvd
Homestead, FL 33030-7309
Mailing address
363 S Homestead Blvd
Homestead, FL 33030-7309
Phone (305) 775-9839
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108539300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9725 NW 117TH Ave
Suite 200
Medley, FL 33178-1260
9853 SW 40TH St
Miami, FL 33165-3993
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019966 | PR | MD | General Practice Physician |
| 14321-I | PR | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cano Health, LLC | General Practice | Current | Accepting new patients |
Locations
8333 NW 53rd St
Fl 6
Doral, FL 33166
363 S Homestead Blvd
Homestead, FL 33030
Phone (305) 273-6010
9725 NW 117th Ave
Ste 200
Medley, FL 33178
Phone 9545149360 ext. 8515
12600 SW 120th St
Ste 101
Miami, FL 33186
Phone (305) 506-1930
26085 S Dixie Hwy
Naranja, FL 33032
Phone (305) 246-2221
680 N University Dr
Pembroke Pines, FL 33024
Phone (954) 538-6868
Interoperability endpoints
- idayli.perezrodriguez@chealth.eclinicaldirectplus.com
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.
-
dba Cano Health, Comfort Health, Comfort Health Medical Center
- Multi-Specialty Clinic/Center
- Pembroke Pines, FL
- NPI 1689901688
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1174040497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 S HOMESTEAD BLVD",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330307309",
"telephone_number": "305-775-9839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 S HOMESTEAD BLVD",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330307309",
"telephone_number": "305-775-9839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ RODRIGUEZ",
"first_name": "IDAYLI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-28",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "019966",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN1086",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": "14321-I",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108539300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.