Individual provider Active NPI

Maria Elena Rodriguez, D.C.

  • Chiropractor
  • Miami Lakes, FL
National Provider Identifier
1235163791
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6759 Issued in FL
Practice address
14411 Commerce Way Ste 350
Miami Lakes, FL 33016-1600
Phone
(305) 883-5577
Fax
(786) 823-0230
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6759 FL Primary

Addresses

Primary practice location

14411 Commerce Way Ste 350
Miami Lakes, FL 33016-1600

Mailing address

14411 Commerce Way Ste 350
Miami Lakes, FL 33016-1600
Phone (305) 883-5577

Other practice location 1

1840 NW 122nd Ter
Pembroke Pines, FL 33026-1966
Phone (544) 436-6600

Other identifiers 1

IdentifierTypeStateIssuer
107799000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041005001182 FL Practitioner - Chiropractic 3678532736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14411 Commerce Way
Suite 350
Miami Lakes, FL 33016-1600
Phone (305) 883-5577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH6759FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hands of Life Inc Chiropractor CurrentSince Oct 18, 2014 Accepting new patients
Quantum Integrative Care CurrentSince Jul 25, 2021 Accepting new patients

Locations

1991 W 60th St
Hialeah, FL 33012
Phone (305) 766-5629

14411 Commerce Way
Ste 350
Miami Lakes, FL 33016
Phone (305) 530-8119

4 Curtiss Pkwy
Miami Springs, FL 33166
Phone (305) 883-5577

1840 NW 122nd Ter
Pembroke Pines, FL 33026
Phone (954) 440-7895

Organizations & group practices 2

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1235163791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14411 COMMERCE WAY STE 350",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161600",
            "telephone_number": "305-883-5577",
            "fax_number": "786-823-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 COMMERCE WAY STE 350",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161600",
            "telephone_number": "305-883-5577",
            "fax_number": "786-823-0230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 NW 122nd Ter",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330261966",
            "country_code": "US",
            "telephone_number": "544-436-6600",
            "fax_number": "954-436-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARIA",
        "middle_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107799000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.