Individual provider Active NPI

Evelio Rodriguez

  • Family Nurse Practitioner
  • Cutler Bay, FL
National Provider Identifier
1376949917
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9245612 Issued in FL
Practice address
20595 Old Cutler Rd
Cutler Bay, FL 33189-2456
Phone
(305) 823-3312
Fax
(305) 884-3989
NPI assigned
Nov 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 9245612 FL
Family Nurse Practitioner 363LF0000X 9245612 FL Primary

Addresses

Primary practice location

20595 Old Cutler Rd
Cutler Bay, FL 33189-2456

Mailing address

15096 SW 20Thlane
Miami, FL 33185
Phone (786) 246-1161

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150831002749 FL Practitioner - Nurse Practitioner 7012083736 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9245612FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VMFL Medical Centers LLC CurrentSince Sep 1, 2024 Accepting new patients
Miami Dade Medical and Rehabilitation Center Corp Clinic/Center CurrentSince May 1, 2024 Accepting new patients
VMFL Medical Centers LLC Clinic/Center Current Accepting new patients
VMFL Medical Centers LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

1565 W 29th St
Hialeah, FL 33012
Phone (305) 537-4110

8415 SW 24th St
Miami, FL 33155
Phone (305) 262-6868

109 Royal Palm Way
Palm Beach, FL 33480

Interoperability endpoints

  • Direct secure messaging: evelio.rodriguez.p1@direct.vivamasmedical.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1376949917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15096 SW 20THLANE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33185",
            "telephone_number": "786-246-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20595 OLD CUTLER RD",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892456",
            "telephone_number": "305-823-3312",
            "fax_number": "305-884-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "EVELIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-10",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "9245612",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9245612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

Verify at the official NPI Registry.