Fidel Lorenzo Rodriguez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME135244 Issued in FL

Practice address

16836 NW 91St Ave
Miami Lakes, FL 33018

Phone

(305) 742-9775

NPI assigned

Dec 2, 2014

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Citrus Health Network, Inc.Group PAC ID 9931177334, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Citrus Health Network Inc

  • Community/Behavioral Health Agency
  • Hialeah, FL
  • NPI 1821138819

  FL

  Medicare reassignment Care Compare group NPD
• Citrus Health Network Inc

  • Federally Qualified Health Center (FQHC)
  • Hialeah, FL
  • NPI 1245581917
  Care Compare group NPD
• Citrus Health Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1396395075
  Care Compare group NPD
• Citrus Health Network Inc

  • Federally Qualified Health Center (FQHC)
  • Hialeah, FL
  • NPI 1275647752
  Care Compare group NPD (past)
• Citrus Health Network Inc

  • Federally Qualified Health Center (FQHC)
  • Hialeah, FL
  • NPI 1942506837
  Care Compare group

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1225435530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420NW 99ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33147",
            "telephone_number": "305-742-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16836 NW 91ST AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33018",
            "telephone_number": "305-742-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "FIDEL",
        "middle_name": "LORENZO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-02",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18945",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME135244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Miguel Rodriguez
• Diego Ramon Rodriguez
• Erika Rodriguez, D.C, B.S
• Eva Rodriguez
• Evelyn Rodriguez
• Gabriela Maria Rodriguez
• Grace Rodriguez
• Janette Rodriguez, ARNP
• Jennine Rodriguez
• Julio Cesar Rodriguez

• All providers in Miami Lakes, FL
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.

Verify at the official NPI Registry.