Individual provider Active NPI

Maite Cristina Aguilar Rodriguez, FPN-C

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1225770795
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11019054 Issued in FL
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

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240507002440 FL Practitioner - Nurse Practitioner 0446691554 Reassigns benefits to 4 organizations

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
Southwest Medical Group PAGroup PAC ID 8426391871, 11 clinicians

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

LicenseStateTypeSpecialty
11019054FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Wellness Clinic & Spa Inc CurrentSince May 19, 2025 Accepting new patients
Primary Care Everywhere, LLC CurrentSince May 1, 2025 Accepting new patients
Best Choice Treatment & Medical Center Inc CurrentSince Jul 1, 2025 Accepting new patients
Southwest Medical Group, P.a. CurrentSince Mar 1, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.