Active NPI
Dulien Contreras Rodriguez, NP
- Family Nurse Practitioner
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11005271
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114485638 | Other | FL | UNITED |
| 1114485638 | Medicaid | FL | |
| 1114485638 | Other | FL | AETNA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11005271 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service League, Inc. | Current | 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.
-
- Community/Behavioral Health Agency
- Huntington, NY
- NPI 1528093242
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.