Individual provider Active NPI

Randall Ramon Rodriguez-Torres, D.M.D

  • Dentist
  • University Park, FL
National Provider Identifier
1417394339
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 20396 Issued in FL
Practice address
5231 University Pkwy
University Park, FL 34201-3009
Phone
(941) 363-0458
NPI assigned
Jun 1, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 20396 FL Primary

Addresses

Primary practice location

5231 University Pkwy
University Park, FL 34201-3009

Mailing address

5580 NW 107TH Ave Apt 1203
Doral, FL 33178-4931
Phone (772) 370-3246

Other names 1

  • Dr. Randall Ramon Rodriguez-Torres Professional name

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

LicenseStateTypeSpecialty
DN 20396FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1370044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1417394339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 NW 107TH AVE APT 1203",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784931",
            "telephone_number": "772-370-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 UNIVERSITY PKWY",
            "city": "UNIVERSITY PARK",
            "state": "FL",
            "postal_code": "342013009",
            "telephone_number": "941-363-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-TORRES",
        "first_name": "RANDALL",
        "middle_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-01",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 20396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDALL",
            "last_name": "RODRIGUEZ-TORRES",
            "middle_name": "RAMON",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in University Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.