Individual provider Active NPI

Rodolfo A Chirinos, M.D.

  • Gastroenterology Physician
  • Plantation, FL
National Provider Identifier
1346201605
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME26857 Issued in FL
Practice address
7050 NW 4TH St Ste 302
Plantation, FL 33317-2247
Phone
(954) 587-0257
Fax
(954) 587-0390
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME26857 FL
Gastroenterology Physician 207RG0100X ME26857 FL Primary

Addresses

Primary practice location

7050 NW 4TH St Ste 302
Plantation, FL 33317-2247

Mailing address

7050 NW 4TH St Ste 302
Plantation, FL 33317-2247
Phone (954) 587-0257

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
I20120117000473 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 2062689920

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26857FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1346201605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 NW 4TH ST STE 302",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172247",
            "telephone_number": "954-587-0257",
            "fax_number": "954-587-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 NW 4TH ST STE 302",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172247",
            "telephone_number": "954-587-0257",
            "fax_number": "954-587-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRINOS",
        "first_name": "RODOLFO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME26857",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME26857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.