Individual provider Active NPI

Victor L. Rodriguez, MD

  • Anesthesiology Physician
  • Sunrise, FL
National Provider Identifier
1386610996
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME62831 Issued in FL
Practice address
1613 Harrison Pkwy
#200
Sunrise, FL 33323-2853
Phone
(954) 838-2371
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME62831 FL Primary

Addresses

Primary practice location

1613 Harrison Pkwy
#200
Sunrise, FL 33323-2853

Mailing address

PO Box 817737
Hollywood, FL 33081-1737

Other identifiers 1

IdentifierTypeStateIssuer
371880800MedicaidFL

Other names 1

  • Victor Lebron Other name

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
I20050829000080 FL Practitioner - Anesthesiology 3678504792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians

Practice addresses (Care Compare)

3600 Washington St
Hollywood, FL 33021-8216
Phone (954) 265-5339

401 NW 42ND Ave
Plantation, FL 33317-2835
Phone (954) 587-5010

Hospital & facility affiliations

  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME62831FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Aug 5, 2005 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiology CurrentSince Feb 19, 2021 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Aug 5, 2005 Accepting new patients
Mercy Anesthesia Group, LLC Past Accepting new patients
South Denver Anesthesiologists PC Anesthesiology Past Accepting new patients
US Anesthesia Partners of Colorado Inc. Anesthesiology PastSince Aug 1, 2016 Accepting new patients

Locations

5503 N Federal Hwy
Boca Raton, FL 33487
Phone (561) 912-9888

1905 Clint Moore Rd
Ste 300
Boca Raton, FL 33496
Phone (561) 544-5501

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

7800 Sheridan St
Pembroke Pines, FL 33024
Phone (954) 962-9650

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1386610996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 817737",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330811737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 HARRISON PKWY",
            "address_2": "#200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232853",
            "telephone_number": "954-838-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "VICTOR",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME62831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371880800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTOR",
            "last_name": "LEBRON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.