Individual provider Active NPI

Marisol Ortega Rodriguez

  • Adult Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1396404646
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11016966 Issued in FL
Practice address
3200 NW 97TH St
Miami, FL 33147-2233
Phone
(786) 376-2718
NPI assigned
Dec 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 11016966 FL Primary
General Practice Registered Nurse 163WG0000X 11016966 FL

Addresses

Primary practice location

3200 NW 97TH St
Miami, FL 33147-2233

Mailing address

3200 NW 97TH St
Miami, FL 33147-2233
Phone (786) 376-2718

Other identifiers 1

IdentifierTypeStateIssuer
11016966OtherFLLICENSE NUMBER

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220622003173 FL Practitioner - Nurse Practitioner 9931588860 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Medical Management LLCGroup PAC ID 6305256678, 24 clinicians
Victor Lopez de Mendoza, MD PLLCGroup PAC ID 3274718226, 8 clinicians

Practice addresses (Care Compare)

2001 W 66TH St
Hialeah, FL 33016-1801
Phone (305) 823-5000

3661 S Miami Ave
Miami, FL 33133-4214
Phone (786) 717-8988

9415 Sunset Dr
Suite 151
Miami, FL 33173-5492

Hospital & facility affiliations

  • HCA Florida Mercy Hospital Hospital, Plantation, FL, CCN 100167
  • Hialeah Hospital Hospital, Hialeah, FL, CCN 100053
  • North Shore Medical Center Hospital, Miami, FL, CCN 100029
  • HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11016966FLMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Victor Lopez de Mendoza, MD PLLC CurrentSince Jun 3, 2022 Accepting new patients
Complete Medical Management, LLC. CurrentSince Sep 1, 2025 Accepting new patients
First Docs PC CurrentSince Sep 23, 2024 Accepting new patients
National Health Rehabilitation LLC Past Accepting new patients

Locations

9415 Sunset Dr
Ste 151
Miami, FL 33173
Phone (305) 315-2707

3661 S Miami Ave
Ste 901
Miami, FL 33133
Phone (305) 856-5057

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

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

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

Organizations & group practices 4

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 6

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": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1396404646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 NW 97TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331472233",
            "telephone_number": "786-376-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 NW 97TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331472233",
            "telephone_number": "786-376-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA RODRIGUEZ",
        "first_name": "MARISOL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11016966",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "11016966",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "11016966",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.