Individual provider Active NPI

Irina Rodriguez, PA

  • Physician Assistant
  • Saint Johns, FL
National Provider Identifier
1255632477
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9105237 Issued in FL
Practice address
1633 Race Track Rd
Saint Johns, FL 32259-3234
Phone
(786) 614-3155
NPI assigned
Nov 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9105237 FL Primary

Addresses

Primary practice location

1633 Race Track Rd
Saint Johns, FL 32259-3234

Mailing address

1495 Mallard Landing Blvd
Saint Johns, FL 32259-5220
Phone (786) 614-3155

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
I20110419000763 FL Practitioner - Physician Assistant 7315122249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacksonville Carenow Urgent Care LLCGroup PAC ID 6800158544, 44 clinicians

Practice addresses (Care Compare)

1633 Race Track Rd
Suite 101
Saint Johns, FL 32259-3237
Phone (904) 230-6988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9105237FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Carenow Urgent Care, LLC CurrentSince Mar 30, 2026 Accepting new patients
Avecina Medical, PA CurrentSince Nov 13, 2023 Accepting new patients
Avecina Medical, PA CurrentSince Nov 13, 2023 Accepting new patients
Avecina Medical PA Past Accepting new patients
Avecina Medical Past Accepting new patients

Locations

9580 Applecross Rd
Ste 106
Jacksonville, FL 32222
Phone (904) 778-9180

4815 Sweetgrass Pl
Unit 201
Jacksonville, FL 32224
Phone (904) 367-3372

1633 Race Track Rd
Ste 101
St Johns, FL 32259
Phone (904) 230-6988

Organizations & group practices 6

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": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1255632477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 MALLARD LANDING BLVD",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322595220",
            "telephone_number": "786-614-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 RACE TRACK RD",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322593234",
            "telephone_number": "786-614-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "IRINA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, FL

Sources for this page

Verify at the official NPI Registry.