Organization Active NPI

Rodriguez Community Center Corp

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1295311728
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RODRIGUEZ COMMUNITY CENTER CORP
Practice address
1301 Palm Ave Unit 102
Hialeah, FL 33010-3461
Phone
(305) 497-2625
NPI assigned
Mar 23, 2021
Last updated
Aug 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Mr. Yelian Diaz Alvarez
Title
Authorized Official
Phone
(305) 497-2625

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1301 Palm Ave Unit 102
Hialeah, FL 33010-3461

Mailing address

1301 Palm Ave Unit 102
Hialeah, FL 33010-3461
Phone (305) 497-2625

Other identifiers 1

IdentifierTypeStateIssuer
109975600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231121003659 FL Part B Supplier - Clinic/Group Practice 7315395803 Receives reassigned benefits from 3 practitioners
Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory

Locations

1301 Palm Ave
Unit 102
Hialeah, FL 33010
Phone (305) 497-2625

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1295311728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PALM AVE UNIT 102",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103461",
            "telephone_number": "305-497-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PALM AVE UNIT 102",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103461",
            "telephone_number": "305-497-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODRIGUEZ COMMUNITY CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "DIAZ ALVAREZ",
        "authorized_official_first_name": "YELIAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "305-497-2625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109975600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.