Individual provider Active NPI

Orialys Rodriguez, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Weston, FL
National Provider Identifier
1447611827
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9109300 Issued in FL
Practice address
1675 Market St Ste 203
Weston, FL 33326-3681
Phone
(786) 307-3865
Fax
(954) 688-7055
NPI assigned
Mar 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9109300 FL Primary

Addresses

Primary practice location

1675 Market St Ste 203
Weston, FL 33326-3681

Mailing address

1675 Market St Ste 203
Weston, FL 33326-3681
Phone (954) 369-1981

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
I20220729000644 FL Practitioner - Physician Assistant 2769887116 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9109300FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Solutions 2020 LLC CurrentSince Jun 28, 2021 Accepting new patients

Locations

1675 Market St
Ste 203
Weston, FL 33326
Phone (786) 307-3865

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1447611827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 MARKET ST STE 203",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263681",
            "telephone_number": "954-369-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 MARKET ST STE 203",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263681",
            "telephone_number": "786-307-3865",
            "fax_number": "954-688-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ORIALYS",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-14",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9109300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.