Organization Active NPI

Ernesto Rodriguez MD.PA.

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1457766305
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME111630 Issued in FL
Legal business name
ERNESTO RODRIGUEZ MD.PA.
Practice address
10300 SW 72ND St
Suite 230
Miami, FL 33173-3012
Phone
(786) 383-7671
NPI assigned
Jun 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Ernesto Rodriguez Valdes, MD
Title
President
Phone
(786) 383-7671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME111630 FL Primary

Addresses

Primary practice location

10300 SW 72ND St
Suite 230
Miami, FL 33173-3012

Mailing address

10300 SW 72ND St
Suite 230
Miami, FL 33173-3012
Phone (786) 383-7671

Other identifiers 1

IdentifierTypeStateIssuer
005931300MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1404000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1457766305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST",
            "address_2": "SUITE 230",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733012",
            "telephone_number": "786-383-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST",
            "address_2": "SUITE 230",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733012",
            "telephone_number": "786-383-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNESTO RODRIGUEZ MD.PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-29",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ VALDES",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-383-7671",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME111630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005931300",
            "state": "FL"
        }
    ],
    "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 13, 2017; 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.