Individual provider Active NPI

Rolando Agustin Fleites Llanio, ARNP

  • Adult Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1205416955
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11012877 Issued in FL
Practice address
8501 SW 124TH Ave Ste 110
Miami, FL 33183-4631
Phone
(786) 808-8555
Fax
(786) 360-1100
NPI assigned
Apr 8, 2021
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11012877 FL Primary

Addresses

Primary practice location

8501 SW 124TH Ave Ste 110
Miami, FL 33183-4631

Mailing address

8501 SW 124TH Ave Ste 110
Miami, FL 33183-4631
Phone (786) 808-8555

Other names 1

  • Rolando Agustin Fleites Llanio Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220706003058 FL Practitioner - Nurse Practitioner 0941680185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Matmed LLCGroup PAC ID 5193052249, 13 clinicians

Practice addresses (Care Compare)

8501 SW 124TH Ave
Suite 110
Miami, FL 33183-4631
Phone (786) 808-8555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11012877FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matmed LLC CurrentSince Jun 15, 2022 Accepting new patients

Locations

8501 SW 124th Ave
Ste 110
Miami, FL 33183
Phone (786) 808-8555

7791 NW 146th St
Miami Lakes, FL 33016
Phone (786) 808-8555

Interoperability endpoints

  • Direct secure messaging: rolando.fleitesllanio.p1@direct.caremax.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1205416955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 SW 124TH AVE STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834631",
            "telephone_number": "786-808-8555",
            "fax_number": "786-360-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 SW 124TH AVE STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834631",
            "telephone_number": "786-808-8555",
            "fax_number": "786-360-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEITES LLANIO",
        "first_name": "ROLANDO",
        "middle_name": "AGUSTIN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-08",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11012877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROLANDO",
            "last_name": "FLEITES LLANIO",
            "middle_name": "AGUSTIN",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.