Active NPI
Nelson Rodriguez
- Physician Assistant
- Miami, FL
National Provider Identifier
1407096084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9100845
- Practice address
- 700 SW 8TH St
Miami, FL 33130-3311 - Phone
- (305) 858-0887
- Fax
- (305) 857-0328
- NPI assigned
- Feb 23, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9100845 | FL | Primary |
Addresses
Primary practice location
700 SW 8TH St
Miami, FL 33130-3311
Mailing address
700 SW 8TH St
Miami, FL 33130-3311
Phone (305) 858-0887
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235347200000",
"number": "1407096084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 SW 8TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331303311",
"telephone_number": "305-858-0887",
"fax_number": "305-857-0328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SW 8TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331303311",
"telephone_number": "305-858-0887",
"fax_number": "305-857-0328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "NELSON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-23",
"last_updated": "2009-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9100845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.