Individual provider Active NPI

Nestor Edilio Rodriguez, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1255938437
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11009442 Issued in FL
Practice address
290 NW 165TH St Ste P100
Miami, FL 33169-6470
Phone
(305) 889-1884
Fax
(305) 949-0586
NPI assigned
Oct 1, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11009442 FL Primary

Addresses

Primary practice location

290 NW 165TH St Ste P100
Miami, FL 33169-6470

Mailing address

14510 SW 37TH St
Miramar, FL 33027-3789
Phone (786) 417-4793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11009442FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Silveroak Home Health Care Service Inc CurrentSince Jul 24, 2022 Accepting new patients

Locations

290 NW 165th St
Ste P100
North Miami Beach, FL 33169
Phone (305) 889-1884

Organizations & group practices 1

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": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1255938437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14510 SW 37TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273789",
            "telephone_number": "786-417-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 NW 165TH ST STE P100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696470",
            "telephone_number": "305-889-1884",
            "fax_number": "305-949-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "NESTOR",
        "middle_name": "EDILIO",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11009442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.