Individual provider Active NPI

Mildrey Rodriguez Fernandez

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1609374024
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11011137 Issued in FL
Practice address
8870 Fontainebleau Blvd Apt 403
Miami, FL 33172-4453
Phone
(786) 773-0223
NPI assigned
Jan 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11011137 FL Primary

Addresses

Primary practice location

8870 Fontainebleau Blvd Apt 403
Miami, FL 33172-4453

Mailing address

8870 Fontainebleau Blvd Apt 403
Miami, FL 33172-4453
Phone (786) 773-0223

Other practice location 1

16201 SW 95th Ave Ste 303
Miami, FL 33157-3401
Phone (305) 964-5824

Other identifiers 1

IdentifierTypeStateIssuer
1043635972MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11011137FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Face to Face Mental Health Services, LLC PastSince Aug 16, 2017 Accepting new patients
Helping Hands for Children, LLC Past Accepting new patients

Organizations & group practices 2

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": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1609374024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8870 FONTAINEBLEAU BLVD APT 403",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724453",
            "telephone_number": "786-773-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8870 FONTAINEBLEAU BLVD APT 403",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724453",
            "telephone_number": "786-773-0223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16201 SW 95th Ave Ste 303",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331573401",
            "country_code": "US",
            "telephone_number": "305-964-5824",
            "fax_number": "305-964-5824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ FERNANDEZ",
        "first_name": "MILDREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043635972",
            "state": "FL"
        }
    ],
    "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 Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.