Ulises Lazaro Rodriguez Avila, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN1009 Issued in FL

Practice address

321 Opa Locka Blvd
Opa Locka, FL 33054-3526

Phone

(786) 476-3333

Fax

(786) 621-7816

NPI assigned

May 22, 2017

Last updated

Mar 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

A and S Wellness Center LLCGroup PAC ID 5597150037, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ulises.rodriguez@cmg.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Access Medical Group of Opa-Locka, LLC.

  dba Community Medical Group

  • Family Medicine Physician
  • Opa Locka, FL
  • NPI 1790044287

  General Practice

  Medicare reassignment NPD
• A & S Wellness Center LLC

  • Community/Behavioral Health Agency
  • Hialeah, FL
  • NPI 1619585551
  Care Compare group

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1588191449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 BLUE LAGOON DR STE 365",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331267010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 OPA LOCKA BLVD",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543526",
            "telephone_number": "786-476-3333",
            "fax_number": "786-621-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ AVILA",
        "first_name": "ULISES",
        "middle_name": "LAZARO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-22",
        "last_updated": "2021-03-09",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ulises.rodriguez@cmg.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "CMG",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "321 Opa Locka Blvd",
            "city": "Opa Locka",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330543526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Isabel Cordoba Reyes, M.D.
• Yanexi Ricardo
• Migseidy Rico Amador
• Daniela Rios Roque
• Daniel David Rivera Macias
• Martha Rodriguez Pullido
• Albert Dieter Rodriguez
• Celia M Rodriguez
• Joel Rodriguez
• Raul Rodriguez, BS

• General Practice Physician in Opa Locka, FL
• Providers in Opa Locka, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.