Mauricio Enrique Rodriguez, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

ME129741 Issued in FL

Practice address

5088 NW 74TH Ave
Miami, FL 33166-5551

Phone

(786) 509-8350

Fax

(786) 633-3688

NPI assigned

Dec 9, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South County Mental Health Center IncGroup PAC ID 0648173484, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• South County Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Delray Beach, FL
  • NPI 1033167721

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Miami Beach Mood and ADHD Therapies LLC

  • Child & Adolescent Psychiatry Physician
  • Weston, FL
  • NPI 1174177554

  Single Specialty

  NPD Authorized official
• Summit Oaks Hospital Inc

  • Psychiatric Hospital
  • Summit, NJ
  • NPI 1205880200

  Single Specialty

  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1568860419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 EXECUTIVE PARK DR STE 126",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313603",
            "telephone_number": "954-247-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5088 NW 74TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331665551",
            "telephone_number": "786-509-8350",
            "fax_number": "786-633-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MAURICIO",
        "middle_name": "ENRIQUE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-09",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME129741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017067100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlene Rodriguez
• Marlissett Rodriguez
• Marta M. Rodriguez, BAED
• Martha Emilia Rodriguez
• Maura M Rodriguez
• Maybet Rodriguez
• Maydelen Rodriguez
• Mayelin Rodriguez
• Maylen Rodriguez, APRN
• Mayra Rodriguez

• Child & Adolescent Psychiatry Physician in Miami, FL
• Providers in Miami, FL by specialty
• Child & Adolescent Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.

Verify at the official NPI Registry.