Organization Active NPI

Hector S Rodriguez Medical Group Inc

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1609023670
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME66905 Issued in FL
Legal business name
HECTOR S RODRIGUEZ MEDICAL GROUP INC
Practice address
4011 West Flagler St
Suite 204
Miami, FL 33134-2616
Phone
(305) 774-1234
Fax
(305) 774-1639
NPI assigned
Aug 21, 2008
Last updated
Dec 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Authorized official

Name
Dr. Hector S Rodriguez, M.D.NPI 1336172162
Title
Owner/President
Phone
(305) 774-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME66905 FL Primary

Addresses

Primary practice location

4011 West Flagler St
Suite 204
Miami, FL 33134-2616

Mailing address

4011 West Flagler St
Suite204
Miami, FL 33134-1643
Phone (305) 774-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090224000550 FL Part B Supplier - Clinic/Group Practice 9830254986 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Gables, FL

National Provider Directory

National Provider Directory

Locations

4011 W Flagler St
Ste 204
Coral Gables, FL 33134
Phone (305) 774-1234

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1609023670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 WEST FLAGLER ST",
            "address_2": "SUITE204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331341643",
            "telephone_number": "305-774-1234",
            "fax_number": "305-774-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 WEST FLAGLER ST",
            "address_2": "SUITE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331342616",
            "telephone_number": "305-774-1234",
            "fax_number": "305-774-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HECTOR S RODRIGUEZ MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "305-774-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME66905",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.