Manuel Bernardo Rodriguez Sr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0020936 Issued in FL

Practice address

410 NE 52ND St
Miami, FL 33137-3031

Phone

(305) 756-6644

Fax

(305) 751-0945

NPI assigned

Jan 21, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Florida Department of Health

  • Public Health or Welfare Agency
  • Quincy, FL
  • NPI 1346446895
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1417194929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 NE 52ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373031",
            "telephone_number": "305-756-6644",
            "fax_number": "305-751-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 NE 52ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373031",
            "telephone_number": "305-756-6644",
            "fax_number": "305-751-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MANUEL",
        "middle_name": "BERNARDO",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0020936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068516000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maikel Rodriguez, RBT
• Mailyn Rodriguez
• Maitie Female (F) Rodriguez, MS
• Maiyelin Rodriguez, PTA
• Manuel Alejandro Rodriguez
• Mara Milagros Rodriguez, M.D.
• Marcos Rodriguez, DNP
• Marena Rodriguez
• Maria Rodriguez, REGISTERED BEHAVIOR
• Maria Rodriguez

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.