NPIMap

Individual provider Active NPI

Juan Carlos Rodriguez, M.D.

  • Pulmonary Disease Physician
  • Pembroke Pines, FL
National Provider Identifier
1386646966
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME87038 Issued in FL
Practice address
1601 N Palm Ave
Suite 109
Pembroke Pines, FL 33026-3240
Phone
(954) 271-0411
Fax
(954) 206-0111
NPI assigned
Aug 12, 2005
Last updated
Dec 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME87038 FL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME87038 FL
Pulmonary Disease Physician 207RP1001X ME87038 FL Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X ME87038 FL

Addresses

Primary practice location

1601 N Palm Ave
Suite 109
Pembroke Pines, FL 33026-3240

Mailing address

3484 Meadowbrook Way
Davie, FL 33328-7327
Phone (954) 271-0411

Other identifiers 1

IdentifierTypeStateIssuer
279163300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050830000733 FL Practitioner - Pulmonary DiseasePractitioner - Hospice/Palliative CarePractitioner - Sleep MedicinePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 7618908559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Hospice/Palliative Care, Internal Medicine, Sleep Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary Physicians of South Florida LLCGroup PAC ID 1850360397, 39 clinicians

Practice addresses (Care Compare)

1601 N Palm Ave
Suite 109
Pembroke Pines, FL 33026-3240
Phone (954) 271-0411

1901 SW 172ND Ave
Memorial Hospital Mirmar
Miramar, FL 33029-5592
Phone (954) 538-5000

5000 University Dr
Coral Gables, FL 33146-2008
Phone (305) 779-7381

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME87038FLMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Institute for Sleep Performance, LLC CurrentSince May 1, 2014 Accepting new patients
United Sleep Diagnostics, LLC CurrentSince May 1, 2014 Accepting new patients
United Sleep Diagnostics, LLC CurrentSince May 1, 2014 Accepting new patients
American Institute for Sleep Performance, LLC CurrentSince Jun 1, 2018 Accepting new patients
Pulmonary Physicians of South Florida LLC Internal Medicine CurrentSince Jun 1, 2015 Accepting new patients

Locations

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

8600 SW 92nd St
Ste 204A
Miami, FL 33156
Phone (305) 436-9933

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

1601 N Palm Ave
Ste 109
Pembroke Pines, FL 33026
Phone (954) 271-0411

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1386646966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3484 MEADOWBROOK WAY",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333287327",
            "telephone_number": "954-271-0411",
            "fax_number": "954-901-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N PALM AVE",
            "address_2": "SUITE 109",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263240",
            "telephone_number": "954-271-0411",
            "fax_number": "954-206-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME87038",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME87038",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME87038",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "ME87038",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279163300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.