Active NPI
Luis E Rodriguez Diaz, CRNA
- Certified Registered Nurse Anesthetist
- Tampa, FL
National Provider Identifier
1457328817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9190432
- Practice address
- 3001 W. Dr. Martin Luther King Drive
Tampa, FL 33607 - Phone
- (813) 350-7244
- Fax
- (813) 350-7246
- NPI assigned
- Mar 3, 2006
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9190432 | FL | Primary |
Addresses
Primary practice location
3001 W. Dr. Martin Luther King Drive
Tampa, FL 33607
Mailing address
1900 Purdy Ave Apt 2209
Miami Beach, FL 33139-1495
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304879900 | Medicaid | FL |
Other names 1
- Luis Emilio Rodriguez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Corner of Route N12 and N7
Fdihb Inc.
Fort Defiance, AZ 86504-0649
Phone (928) 729-8082
PO Box
Suite 649
Fort Defiance, AZ 86504-0649
Hospital & facility affiliations
- Fort Defiance Indian Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Fort Defiance Indian Hospital Board, Incorporation | Current | Accepting new patients | |
| American Anesthesiology Associates of Florida, Inc. | Past | Accepting new patients | |
| Highlands Anesthesia LLC | Past | Accepting new patients | |
| Wolverine Anesthesia Consultants, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1477876639
TX
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1134232754
-
- Anesthesiology Physician
- Sebring, FL
- NPI 1386117331
-
- Anesthesiology Physician
- Orlando, FL
- NPI 1558381392
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1457328817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 PURDY AVE APT 2209",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331391495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 W. DR. MARTIN LUTHER KING DRIVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "33607",
"telephone_number": "813-350-7244",
"fax_number": "813-350-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ DIAZ",
"first_name": "LUIS",
"middle_name": "E",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9190432",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304879900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LUIS",
"last_name": "RODRIGUEZ",
"middle_name": "EMILIO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.