Individual provider Active NPI

Jose R Rodriguez

  • Phlebotomy Technician
  • Hialeah, FL
National Provider Identifier
1396356788
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Practice address
330 W 9TH St Ste 5
Hialeah, FL 33010-3865
Phone
(877) 553-3319
NPI assigned
Aug 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X 00000 FL
Phlebotomy Technician 246RP1900X Primary

Addresses

Primary practice location

330 W 9TH St Ste 5
Hialeah, FL 33010-3865

Mailing address

330 E 9TH St Unit 5
Hialeah, FL 33010-4221
Phone (786) 267-7659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00000FLMDPhlebology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Medical Diagnostic Services Inc Current Accepting new patients
Universal Medical Diagnostic Services Inc Current Accepting new patients

Locations

330 W 9th St
Ste 5
Hialeah, FL 33010
Phone (305) 218-8572

6303 Waterford District Dr
Ste 400
Miami, FL 33126
Phone (786) 801-1571

Organizations & group practices 2

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": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1396356788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E 9TH ST UNIT 5",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104221",
            "telephone_number": "786-267-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W 9TH ST STE 5",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103865",
            "telephone_number": "877-553-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOSE",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-11",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "FL",
            "license": "00000",
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.