Individual provider Active NPI

Angelica Rodriguez

  • Physician Assistant
  • Aventura, FL
National Provider Identifier
1497218028
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9113606 Issued in FL
Practice address
21110 Biscayne Blvd Ste 400
Aventura, FL 33180-1252
Phone
(305) 918-7050
Fax
(305) 918-7051
NPI assigned
Apr 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA9113606 FL Primary

Addresses

Primary practice location

21110 Biscayne Blvd Ste 400
Aventura, FL 33180-1252

Mailing address

21110 Biscayne Blvd Ste 400
Aventura, FL 33180-1252
Phone (305) 918-7050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210107002786 FL Practitioner - Physician Assistant 2860805090 Reassigns benefits to 3 organizations
I20250730003318 DC Practitioner - Physician Assistant 2860805090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Nova Southeastern College of Osteo Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

8503 Arlington Blvd
Fairfax, VA 22031-4628
Phone (703) 970-2670

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jul 28, 2025 Accepting new patients
Sterling Emergency Services of Miami Beach PA Physician Assistant CurrentSince Jan 23, 2023 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Nov 7, 2022 Accepting new patients
Inova Health Care Services CurrentSince Jul 28, 2025 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Nov 7, 2022 Accepting new patients

Locations

8931 W Atlantic Blvd
Coral Springs, FL 33071
Phone (754) 225-7033

4825 SW 148th Ave
Davie, FL 33330
Phone (954) 526-7291

915 W 49th St
Hialeah, FL 33012
Phone (305) 200-1225

2845 NE 199th St
Miami, FL 33180
Phone (305) 692-1000

8095 Innovation Park Dr
Bldg C
Fairfax, VA 22031
Phone (571) 472-6253

8503 Arlington Blvd
Fairfax, VA 22031
Phone (703) 970-2670

Interoperability endpoints

  • Direct secure messaging: arodriguez1449890@soc.inova.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1497218028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21110 BISCAYNE BLVD STE 400",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801252",
            "telephone_number": "305-918-7050",
            "fax_number": "305-918-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21110 BISCAYNE BLVD STE 400",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801252",
            "telephone_number": "305-918-7050",
            "fax_number": "305-918-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ANGELICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.