Individual provider Active NPI

Leidys R Rodriguez, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cutler Bay, FL
National Provider Identifier
1609372168
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2024091002 Issued in FL
Practice address
18901 SW 106TH Ave Ste 229
Cutler Bay, FL 33157-7665
Phone
(786) 808-6575
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11018968 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2024091002 FL Primary

Addresses

Primary practice location

18901 SW 106TH Ave Ste 229
Cutler Bay, FL 33157-7665

Mailing address

18901 SW 106TH Ave Ste 229
Cutler Bay, FL 33157-7665
Phone (786) 808-6575

Other practice location 1

10502 SW 144th Ct
Miami, FL 33186-2922
Phone (786) 896-2555

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220504002565 FL Practitioner - Nurse Practitioner 2466849773 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11018968FLMDFamily Nurse Practitioner
2024091002FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
N&Y Community Wellness Center Corp CurrentSince Apr 15, 2026 Accepting new patients
Vale Community Wellness Center LLC Current Accepting new patients
Nova Medical Services - Wound Care Division LLC CurrentSince Apr 15, 2022 Accepting new patients
Advance Community Services Corp PastSince Sep 24, 2020 Accepting new patients

Locations

11009 SW 186th St
Cutler Bay, FL 33157
Phone (786) 608-0710

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1609372168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18901 SW 106TH AVE STE 229",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577665",
            "telephone_number": "786-808-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18901 SW 106TH AVE STE 229",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577665",
            "telephone_number": "786-808-6575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10502 SW 144th Ct",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331862922",
            "country_code": "US",
            "telephone_number": "786-896-2555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LEIDYS",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11018968",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "2024091002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

Verify at the official NPI Registry.