Individual provider Active NPI

Alfredo Rodriguez Gil, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1386246254
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11010334 Issued in FL
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

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210804004047 FL Practitioner - Nurse Practitioner 4688078140 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11010334FLMDFamily Nurse Practitioner
F11200231FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Las Mercedes, LLC Current Accepting new patients
Ezra Medical LLC CurrentSince Nov 23, 2024 Accepting new patients
Clinica Las Mercedes, LLC CurrentSince Sep 2, 2024 Accepting new patients
Clinica Las Mercedes, LLC CurrentSince Sep 2, 2024 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.

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

Verify at the official NPI Registry.