Active NPI
Marc Rodriguez, NP-C
- Family Nurse Practitioner
- Miramar, FL
National Provider Identifier
1194169540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9281856
- Practice address
- 2492 Centergate Dr Apt 208
Miramar, FL 33025-7221 - Phone
- (954) 383-1961
- Fax
- (888) 920-1119
- NPI assigned
- Apr 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9281856 | FL | Primary |
Addresses
Primary practice location
2492 Centergate Dr Apt 208
Miramar, FL 33025-7221
Mailing address
2492 Centergate Dr Apt 208
Miramar, FL 33025-7221
Phone (954) 383-1961
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250612003252 | FL | Order and Referring Only - Nurse Practitioner | 9335383603 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732924800000",
"number": "1194169540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2492 CENTERGATE DR APT 208",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330257221",
"telephone_number": "954-383-1961",
"fax_number": "888-920-1119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2492 CENTERGATE DR APT 208",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330257221",
"telephone_number": "954-383-1961",
"fax_number": "888-920-1119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MARC",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-28",
"last_updated": "2024-11-30",
"certification_date": "2024-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9281856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.