Sergio M Rodriguez Jr MD PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME0058313 Issued in FL

Legal business name

SERGIO M RODRIGUEZ JR MD PA

Practice address

777 East 25 Street
Suite 210
Hialeah, FL 33013

Phone

(305) 691-3505

Fax

(305) 691-4104

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Sergio M Rodriguez Jr., MDNPI 1013941848

Title

Owner President

Phone

(305) 691-3505

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Networks

• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sergio Max Rodriguez Jr., MD

  • Gastroenterology Physician
  • Hialeah, FL
  • NPI 1013941848
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1194803379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 EAST 25 STREET",
            "address_2": "SUITE 210",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33013",
            "telephone_number": "305-691-3505",
            "fax_number": "305-691-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 EAST 25 STREET",
            "address_2": "SUITE 210",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33013",
            "telephone_number": "305-691-3505",
            "fax_number": "305-691-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGIO M RODRIGUEZ JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "305-691-3505",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0058313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059599300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geraldine Sequeira Grass, DO
• Milagros I Serafin
• Serene Medical Center of Hialeah, Inc.
• Serenity RG Services. Inc.
• Serenity TMS Corp
• Kety L Serpa Sotolongo
• John A. Serpa, MD
• Cristhy Serra, OTR/L
• Lynette Serra, RBT
• Maria Teresa Serra, MS

• Gastroenterology Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.