Rodney B. Rengifo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9102557 Issued in FL

Practice address

4445 W 16TH Ave
Suite 200
Hialeah, FL 33012-7189

Phone

(786) 691-1110

NPI assigned

Jun 13, 2007

Last updated

Oct 21, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aaa Urgent Care LLCGroup PAC ID 3274982913, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aaa Urgent Care LLC

  • Urgent Care Clinic/Center
  • Tamarac, FL
  • NPI 1245813708
  Medicare reassignment Care Compare group
• Carevantage Medical Centers of Broward at Stirling Road,LLC

  • General Practice Physician
  • Hollywood, FL
  • NPI 1972871937
  Medicare reassignment
• Carevantage Medical Centers of Miami at Hialeah LLC

  • General Practice Physician
  • Hialeah, FL
  • NPI 1982971867
  Medicare reassignment

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1275737306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE",
            "address_2": "STE 200",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127190",
            "telephone_number": "786-691-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE",
            "address_2": "SUITE 200",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127189",
            "telephone_number": "786-691-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1329 Alton Rd",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331393811",
            "country_code": "US",
            "telephone_number": "305-344-2273",
            "fax_number": "844-240-8266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENGIFO",
        "first_name": "RODNEY",
        "middle_name": "B.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renaissance Therapy Services Inc
• Renaissance Wellness Academy, LLC.
• Renal Carepartners of Hialeah, LLC
• Maria Elena Rendon de Daher, RN,MW,SA-C, EO
• Rene Guerra MD PL
• Renovation Health Medical Center Inc
• Rente Eye Services P a
• Alberto L Rente, OD
• Katy Repiso
• Residencia Casabella Alf Corp.

• Physician Assistant in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.