Individual provider Active NPI

Dulien Contreras Rodriguez, NP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1508404708
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11005271 Issued in FL
Practice address
9350 SW 72ND St
Miami, FL 33173-3286
Phone
(786) 343-0551
Fax
(786) 590-1866
NPI assigned
Dec 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11005271 FL
Family Nurse Practitioner 363LF0000X 11005271 FL Primary

Addresses

Primary practice location

9350 SW 72ND St
Miami, FL 33173-3286

Mailing address

9350 SW 72ND St Ste 112
Miami, FL 33173-3245
Phone (786) 343-0551

Other practice location 1

4331 SW 6th St
Coral Gables, FL 33134-1907
Phone (786) 343-0551

Other identifiers 3

IdentifierTypeStateIssuer
1114485638OtherFLUNITED
1114485638MedicaidFL
1114485638OtherFLAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230808000427 NY Practitioner - Nurse Practitioner 8921489907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Service League IncGroup PAC ID 4284524448, 47 clinicians

Practice addresses (Care Compare)

1444 5TH Ave
Bay Shore, NY 11706-4147
Phone (631) 647-3100

1448 5TH Ave
Bay Shore, NY 11706-4147
Phone (631) 309-6900

400 W Main St
Suite 300
Riverhead, NY 11901-2813
Phone (631) 369-0104

55 Horizon Dr
Huntington, NY 11743-4436
Phone (631) 369-2300

790 Park Ave
Huntington, NY 11743-4516
Phone (631) 427-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11005271FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service League, Inc. CurrentSince Jun 21, 2023 Accepting new patients

Locations

790 Park Ave
Huntington, NY 11743
Phone (631) 427-3700

Organizations & group practices 1

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": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1508404708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 SW 72ND ST STE 112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733245",
            "telephone_number": "786-343-0551",
            "fax_number": "786-323-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 SW 72ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733286",
            "telephone_number": "786-343-0551",
            "fax_number": "786-590-1866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4331 SW 6th St",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331341907",
            "country_code": "US",
            "telephone_number": "786-343-0551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONTRERAS RODRIGUEZ",
        "first_name": "DULIEN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-18",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11005271",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "1114485638",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114485638",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1114485638",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.