Ivan D Rodriguez D O P a

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

OS7908 Issued in FL

Legal business name

IVAN D RODRIGUEZ D O P A

Practice address

7100 W 20TH Ave
Suite 504
Hialeah, FL 33016-1897

Phone

(305) 827-3330

Fax

(305) 824-4699

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Ivan D Rodriguez, DONPI 1649292012

Title

President

Phone

(305) 824-0706

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Ivan David Rodriguez, D.O.

  • Family Medicine Physician
  • Hialeah, FL
  • NPI 1649292012
  Medicare reassignment NPD Authorized official
• Vanessa S. Samaniego, M.D.

  • Family Medicine Physician
  • South Miami, FL
  • NPI 1306307772
  Medicare reassignment NPD

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1376625780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 NW 167TH TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330168452",
            "telephone_number": "305-824-0706",
            "fax_number": "305-824-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE",
            "address_2": "SUITE 504",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161897",
            "telephone_number": "305-827-3330",
            "fax_number": "305-824-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN D RODRIGUEZ D O P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-824-0706",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "OS7908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267179400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Israel D. Alvarez, M.D.,Faap; Alvis Pediatrics,P.a.
• It's Vivace Expressive Therapy & More LLC
• Cindy Iturmendi
• Ivan Carreras MD PA
• Ivan D Castano MD
• Ivan Rad Corp (Doral Medical Office)
• Ivette Valle MD PA
• Ivonn Cancio
• Iza Optical Lab Inc
• Yanitza Izaguirre Cleger

• Geriatric Medicine (Family Medicine) Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Geriatric Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.