Active NPI
Jorgelin Rodriguez, D.M.D.
- Dentist
- North Miami Beach, FL
National Provider Identifier
1396973301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN 17623
- Practice address
- 1750 NE 167TH St
North Miami Beach, FL 33162-3017 - Phone
- (305) 949-4000
- NPI assigned
- Jun 29, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN 17623 | FL | Primary |
Addresses
Primary practice location
1750 NE 167TH St
North Miami Beach, FL 33162-3017
Mailing address
8776 SW 12TH St Apt 206
Miami, FL 33174-3376
Phone (786) 252-3769
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 |
|---|---|---|---|
| DN 17623 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246233600000",
"number": "1396973301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8776 SW 12TH ST APT 206",
"city": "MIAMI",
"state": "FL",
"postal_code": "331743376",
"telephone_number": "786-252-3769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 NE 167TH ST",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331623017",
"telephone_number": "305-949-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JORGELIN",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-29",
"last_updated": "2009-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 17623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.