Active NPI
Lidia R Wong Rodriguez
- Family Nurse Practitioner
- Miami, FL
National Provider Identifier
1497222012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F10180708
- Practice address
- 246 NW 71St Ave
Miami, FL 33126-4315 - Phone
- (786) 427-7442
- NPI assigned
- Nov 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F10180708 | FL | Primary |
Addresses
Primary practice location
246 NW 71St Ave
Miami, FL 33126-4315
Mailing address
246 NW 71St Ave
Miami, FL 33126-4315
Phone (786) 427-7442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F10180708 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541030400000",
"number": "1497222012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 NW 71ST AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331264315",
"telephone_number": "786-427-7442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 NW 71ST AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331264315",
"telephone_number": "786-427-7442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG RODRIGUEZ",
"first_name": "LIDIA",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-01",
"last_updated": "2018-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "F10180708",
"primary": true
}
],
"identifiers": [],
"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 Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.