Active NPI
Michael John Rodriguez, M.D.
- Otolaryngology Physician
- Miami, FL
National Provider Identifier
1235302159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- TRN 6752
- Practice address
- 1666 NW 12TH Ave
Acc East Ste 314
Miami, FL 33136 - Phone
- (305) 585-7127
- NPI assigned
- Apr 11, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | TRN 6752 | FL | Primary |
Addresses
Primary practice location
1666 NW 12TH Ave
Acc East Ste 314
Miami, FL 33136
Mailing address
1801 S Treasure Dr Apt 120
North Bay Village, FL 33141-4319
Phone (305) 479-5381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105867 | CA | MD | Clinical Social Worker |
| TRN 6752 | FL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlos Spera MD PA | Past | Accepting new patients | |
| Carlos E. Spera, MD, PA | Past | Accepting new patients |
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.
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- NPI 1376875344
-
- Ambulatory Surgical Clinic/Center
- Davie, FL
- NPI 1164612289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1235302159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 S TREASURE DR APT 120",
"city": "NORTH BAY VILLAGE",
"state": "FL",
"postal_code": "331414319",
"telephone_number": "305-479-5381",
"fax_number": "305-326-7610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1666 NW 12TH AVE",
"address_2": "ACC EAST STE 314",
"city": "MIAMI",
"state": "FL",
"postal_code": "33136",
"telephone_number": "305-585-7127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-11",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "TRN 6752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.