Individual provider Active NPI

Hector S Rodriguez, M.D.

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1336172162
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME66905 Issued in FL
Practice address
4201 Palm Ave
Hialeah, FL 33012-4424
Phone
(855) 226-6633
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME66905 FL Primary

Addresses

Primary practice location

4201 Palm Ave
Hialeah, FL 33012-4424

Mailing address

4011 W Flagler Street
Suite 204
Miami, FL 33134-1643
Phone (305) 774-1234

Other practice location 1

4011 W Flagler St Ste 204
Miami, FL 33134-1643
Phone (305) 774-1234

Other practice location 2

4011 W Flagler St Ste 204
Coral Gables, FL 33134-1643
Phone (305) 774-1234

Other identifiers 1

IdentifierTypeStateIssuer
25957OtherFLBLUE CROSS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031210000595 FL Practitioner - Family PracticePractitioner - General Practice 5597661595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4011 W Flagler St
Suite 204
Coral Gables, FL 33134-1643
Phone (305) 774-1234

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
South Integrity Medical Group Inc Past Accepting new patients
Magellan Clinical Services LLC Past Accepting new patients
Integral Medical Group Inc Past Accepting new patients
CR Medical Group Inc PastSince May 3, 2014 Accepting new patients
Dr Jose Jesus Sanchez MD PA Past Accepting new patients
Sina Medical Center LLC General Practice PastSince Aug 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wghhrodrig@yourcarecommunity.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1336172162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 W FLAGLER STREET",
            "address_2": "SUITE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331341643",
            "telephone_number": "305-774-1234",
            "fax_number": "305-774-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124424",
            "telephone_number": "855-226-6633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4011 W Flagler St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331341643",
            "country_code": "US",
            "telephone_number": "305-774-1234",
            "fax_number": "305-774-1639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4011 W Flagler St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331341643",
            "country_code": "US",
            "telephone_number": "305-774-1234",
            "fax_number": "305-774-1639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "HECTOR",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME66905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "25957",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.