Lucero M Rodriguez, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME93806 Issued in FL

Practice address

10305 NW 41St St Ste 202
Doral, FL 33178

Phone

(305) 718-9800

Fax

(305) 718-9080

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Geriatric PsychiatryAlso: Psychiatry

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

L.I.F.E Center for Healing and Growth Inc.Group PAC ID 5890138812, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• L.I.F.E Center for Healing & Growth Inc.

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1740793868
  Medicare reassignment Care Compare group NPD
• Lucero Rodriguez MD PA

  • Psychiatry Physician
  • Doral, FL
  • NPI 1912129263
  Medicare reassignment NPD Authorized official
• Dade Family Counseling Community Mental Health Center, Inc

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1427055417
  Medicare reassignment NPD
• Dade Family Medical Center, Inc.

  • Clinic/Center
  • Coral Gables, FL
  • NPI 1447571757
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1255364113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 SW 138TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757500",
            "telephone_number": "305-718-9800",
            "fax_number": "305-718-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 NW 41ST ST STE 202",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33178",
            "telephone_number": "305-718-9800",
            "fax_number": "305-718-9080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Park St",
            "address_purpose": "LOCATION",
            "city": "Miami Springs",
            "state": "FL",
            "postal_code": "331664452",
            "country_code": "US",
            "telephone_number": "305-888-2607",
            "fax_number": "305-718-9080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LUCERO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "ME93806",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME93806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274216100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keyla C. Rodriguez, BCBA
• Laz D Rodriguez, D.C.
• Lianny Rodriguez
• Lidwiscka Rodriguez
• Liosday Rodriguez, RBT
• Luis Enrique Rodriguez Jr.
• Magdiel Rodriguez
• Maggy Rodriguez
• Maria Teresa Rodriguez, LCMHC
• Marlie Rodriguez, RBT

• Psychiatry Physician in Doral, FL
• Providers in Doral, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.