Individual provider Active NPI

Jonathan Rodriguez-Perez, CRNA

  • Certified Registered Nurse Anesthetist
  • Maitland, FL
National Provider Identifier
1396202933
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11001891 Issued in FL
Practice address
500 Winderley PL Ste 115
Maitland, FL 32751-7406
Phone
(407) 581-9180
Fax
(865) 560-7066
NPI assigned
Mar 1, 2019
Last updated
May 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3086 PR
Certified Registered Nurse Anesthetist 367500000X APRN11001891 FL Primary

Addresses

Primary practice location

500 Winderley PL Ste 115
Maitland, FL 32751-7406

Mailing address

500 Winderley PL Ste 115
Maitland, FL 32751-7406
Phone (407) 581-9180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190711001476 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224363304 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

110 N Lecanto Hwy
Lecanto, FL 34461-9190
Phone (352) 527-1825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN11001891FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 20, 2025 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2023 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jul 1, 2019 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2022 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 11, 2023 Accepting new patients
Brevard Physician Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 6, 2022 Accepting new patients
Innovative Medical Staffing Solutions Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 8, 2023 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jul 1, 2019 Accepting new patients
Osceola County Anesthesia Associates, LLC CurrentSince Sep 1, 2025 Accepting new patients
Anesthesia Dynamics LLC Past Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

4035 Southpoint Blvd
Jacksonville, FL 32216
Phone (833) 894-4420

737 W Oak St
Ste 201
Kissimmee, FL 34741

905 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 256-0933

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

130 Tamiami Trl N
Ste 210
Naples, FL 34102
Phone (239) 434-8707

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

100 N Dean Rd
Ste 102
Orlando, FL 32825
Phone (407) 506-0006

100 S Orange Ave
Ste 800
Orlando, FL 32801
Phone (407) 377-0251

1405 S Orange Ave
Ste 400
Orlando, FL 32806
Phone (407) 426-8331

6900 Turkey Lake Rd
Ste 2-5
Orlando, FL 32819
Phone (407) 354-5401

7974 Lake Underhill Rd
Orlando, FL 32822
Phone (321) 710-9899

204B E 19th St
Panama City, FL 32405
Phone (850) 769-7599

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793

483 N Semoran Blvd
Winter Park, FL 32792
Phone (407) 367-0742

Networks

  • Freedom Health HMO Network

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1396202933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WINDERLEY PL STE 115",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517406",
            "telephone_number": "407-581-9180",
            "fax_number": "865-560-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WINDERLEY PL STE 115",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517406",
            "telephone_number": "407-581-9180",
            "fax_number": "865-560-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-PEREZ",
        "first_name": "JONATHAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PR",
            "license": "3086",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11001891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.