Active NPI
Jose R Rodriguez
- Phlebotomy Technician
- Hialeah, FL
National Provider Identifier
1396356788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 00000 | FL | MD | Phlebology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Medical Laboratory Technician
- Hialeah, FL
- NPI 1659143931
-
- Clinical Medical Laboratory
- Miami, FL
- NPI 1922637867
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.