Individual provider Active NPI

Joseph Anthony Rodriguez, MD

  • Family Medicine Physician
  • Hialeah, FL
National Provider Identifier
1467663997
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME58775 Issued in FL
Practice address
901 E 10TH Ave Ste 39
Hialeah, FL 33010-3766
Phone
(305) 637-6400
Fax
(305) 636-5155
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME58775 FL Primary

Addresses

Primary practice location

901 E 10TH Ave Ste 39
Hialeah, FL 33010-3766

Mailing address

5607 NW 27TH Ave Ste 1
Miami, FL 33142-2826
Phone (305) 805-1700

Other identifiers 1

IdentifierTypeStateIssuer
371872700MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040212000494 FL Practitioner - Family Practice 5092609792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Perelman School of Med at the University of Pennsylvania, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

901 E 10TH Ave
Hialeah, FL 33010-3762
Phone 30563764002151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME58775FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jessie Trice Community Health System, Inc Current Accepting new patients
Jessie Trice Community Health System Inc CurrentSince Sep 4, 2024 Accepting new patients
Broward County CurrentSince Aug 22, 2023 Accepting new patients
Jessie Trice Community Health System Inc Current Accepting new patients
Jessie Trice Community Health System, Inc CurrentSince Sep 4, 2024 Accepting new patients

Locations

901 E 10th Ave
Hialeah, FL 33010
Phone 30563764002151

901 E 10th Ave
Ste 39
Hialeah, FL 33010
Phone (305) 835-1578

5607 NW 27th Ave
Ste 1
Miami, FL 33142
Phone (305) 805-1700

5361 NW 22nd Ave
Miami, FL 33142
Phone (305) 835-1586

5361 NW 22nd Ave
Ste 100
Miami, FL 33142

490 Opa Locka Blvd
#100
Opa Locka, FL 33054
Phone (305) 681-3915

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1467663997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 NW 27TH AVE STE 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331422826",
            "telephone_number": "305-805-1700",
            "fax_number": "305-805-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 10TH AVE STE 39",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103766",
            "telephone_number": "305-637-6400",
            "fax_number": "305-636-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME58775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371872700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.