Active NPI
Rene Rodriguez, MD
- Internal Medicine Physician
- Miramar, FL
National Provider Identifier
1508917733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0061780
- Practice address
- 3800 S.W. 128 Avenue
Miramar, FL 33027-2819 - Phone
- (954) 438-7877
- Fax
- (954) 442-4449
- NPI assigned
- Jan 15, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0061780 | FL | Primary |
Addresses
Primary practice location
3800 S.W. 128 Avenue
Miramar, FL 33027-2819
Mailing address
3800 S.W 128 Avenue
Miramar, FL 33027-2819
Phone (954) 438-7877
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14834 | Other | FL | BLUE CROSS OF FLORIDA |
| 251725600 | Medicaid | FL | |
| FLME0061780 | Other | FL | FLORIDA LICENSE # |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0061780 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Contracting Services LLC | Current | Accepting new patients | |
| Larkin Emergency Physicians LLC | Current | Accepting new patients | |
| Doctors ER Services, Inc. | Past | Accepting new patients |
Locations
651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370
1475 W 49th St
Hialeah, FL 33012
Phone (305) 824-4761
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Hialeah, FL
- NPI 1831558626
-
- Emergency Medicine Physician
- Miami, FL
- NPI 1346296605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223510400000",
"number": "1508917733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 S.W 128 AVENUE",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330272819",
"telephone_number": "954-438-7877",
"fax_number": "954-442-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 S.W. 128 AVENUE",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330272819",
"telephone_number": "954-438-7877",
"fax_number": "954-442-4449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "RENE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2008-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0061780",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF FLORIDA",
"identifier": "14834",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251725600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE #",
"identifier": "FLME0061780",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.