Active NPI
Maite Cristina Aguilar Rodriguez, FPN-C
- Nurse Practitioner
- Miami, FL
National Provider Identifier
1225770795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11019054
- Practice address
- 6044 SW 129TH Ave
Miami, FL 33183-5403 - Phone
- (786) 222-3590
- NPI assigned
- Apr 13, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11019054 | FL | Primary |
Addresses
Primary practice location
6044 SW 129TH Ave
Miami, FL 33183-5403
Mailing address
6044 SW 129TH Ave
Miami, FL 33183-5403
Phone (786) 222-3590
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Miami | Health Information Exchange (HIE) |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7480 Fairway Dr
Suite 106
Miami Lakes, FL 33014-6879
Phone (305) 704-0449
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11019054 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Wellness Clinic & Spa Inc | Current | Accepting new patients | |
| Primary Care Everywhere, LLC | Current | Accepting new patients | |
| Best Choice Treatment & Medical Center Inc | Current | Accepting new patients | |
| Southwest Medical Group, P.a. | Current | Accepting new patients |
Locations
5829 S Congress Ave
Atlantis, FL 33462
Phone (561) 214-9500
8370 SW 8th St
Miami, FL 33144
Phone (305) 265-7505
7480 Fairway Dr
Ste 106
Miami Lakes, FL 33014
Phone (305) 704-0449
Interoperability endpoints
- https://api.platform.athenahealth.com/27208/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1427840222
-
- Family Medicine Physician
- Miami Lakes, FL
- NPI 1568926327
-
- Physical Therapy Clinic/Center
- Miami, FL
- NPI 1306517792
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1659008324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1225770795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6044 SW 129TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331835403",
"telephone_number": "786-222-3590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6044 SW 129TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331835403",
"telephone_number": "786-222-3590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUILAR RODRIGUEZ",
"first_name": "MAITE",
"middle_name": "CRISTINA",
"credential": "FPN-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-13",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11019054",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Miami",
"affiliation": "N",
"endpointDescription": "Miami",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Miami",
"address_1": "6044 SW 129th Ave",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331835403",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.