Active NPI
Andres Luis Rodriguez, MD
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1285021816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME129945
- Practice address
- 800 SW 108TH Ave Ste 100
Miami, FL 33174 - Phone
- (305) 348-3627
- Fax
- (305) 348-4261
- NPI assigned
- Apr 21, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME129945 | FL | Primary |
Addresses
Primary practice location
800 SW 108TH Ave Ste 100
Miami, FL 33174
Mailing address
800 SW 108TH Ave Ste 100
Miami, FL 33174-2555
Phone (305) 348-3627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME129945 | Other | FL | MEDICAL LICENSE |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida International University Board of Trustees | Family Medicine | Current | Accepting new patients |
Locations
800 SW 108th Ave
#100
Miami, FL 33174
Phone (305) 348-0254
800 SW 108th Ave
Ste 100
Miami, FL 33174
Phone (305) 348-3627
Interoperability endpoints
- andres.rodriguez.1@14931.direct.athenahealth.com
- andres.rodriguez.1@27920.direct.athenahealth.com
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.
-
- Family Medicine Physician
- Miami, FL
- NPI 1598070849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1285021816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 SW 108TH AVE STE 100",
"city": "MIAMI",
"state": "FL",
"postal_code": "331742555",
"telephone_number": "305-348-3627",
"fax_number": "305-348-4261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 SW 108TH AVE STE 100",
"city": "MIAMI",
"state": "FL",
"postal_code": "33174",
"telephone_number": "305-348-3627",
"fax_number": "305-348-4261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ANDRES",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-21",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME129945",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME129945",
"state": "FL"
}
],
"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 Aug 7, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.