Active NPI
Alfredo Rodriguez Gil, ARNP
- Family Nurse Practitioner
- Miami, FL
National Provider Identifier
1386246254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11010334
- Practice address
- 1479 NW 27TH Ave
Miami, FL 33125-2133 - Phone
- (305) 633-3776
- Fax
- (305) 633-4240
- NPI assigned
- Nov 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F11200231 | FL | |
| Family Nurse Practitioner | 363LF0000X | 11010334 | FL | Primary |
Addresses
Primary practice location
1479 NW 27TH Ave
Miami, FL 33125-2133
Mailing address
11021 NW 21St St
Coral Springs, FL 33071-5732
Phone (786) 378-2542
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11010334 | FL | MD | Family Nurse Practitioner |
| F11200231 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Las Mercedes, LLC | Current | Accepting new patients | |
| Ezra Medical LLC | Current | Accepting new patients | |
| Clinica Las Mercedes, LLC | Current | Accepting new patients | |
| Clinica Las Mercedes, LLC | Current | Accepting new patients |
Locations
1780 Polk St
Ste D
Hollywood, FL 33020
Phone (917) 509-2538
1479 NW 27th Ave
Miami, FL 33125
Phone (305) 633-3776
6355 NW 36th St
Ste 1100
Virginia Gardens, FL 33166
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Miami, FL
- NPI 1326090960
-
- Internal Medicine Physician
- Hollywood, FL
- NPI 1285404962
-
- Multi-Specialty Clinic/Center
- Tamarac, FL
- NPI 1518673565
-
- Multi-Specialty Clinic/Center
- Miami, FL
- NPI 1902312754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1386246254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11021 NW 21ST ST",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330715732",
"telephone_number": "786-378-2542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1479 NW 27TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331252133",
"telephone_number": "305-633-3776",
"fax_number": "305-633-4240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ GIL",
"first_name": "ALFREDO",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-14",
"last_updated": "2024-08-29",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "F11200231",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11010334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.