Individual provider Active NPI

Yolanda Rodriguez, FNP

  • Primary Care Nurse Practitioner
  • Cutler Bay, FL
National Provider Identifier
1609696566
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11035864 Issued in FL
Practice address
21741 SW 97TH CT
Cutler Bay, FL 33190-1176
Phone
(786) 624-0855
NPI assigned
Oct 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11035864 FL Primary

Addresses

Primary practice location

21741 SW 97TH CT
Cutler Bay, FL 33190-1176

Mailing address

21741 SW 97TH CT
Cutler Bay, FL 33190-1176

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
I20250512000777 FL Practitioner - Nurse Practitioner 8527585710 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gelasio Baras MD PAGroup PAC ID 4486932845, 2 clinicians
Specialist Consultation Network LLCGroup PAC ID 3375076557, 5 clinicians

Practice addresses (Care Compare)

11760 Bird Rd
Suite 502
Miami, FL 33175-3598
Phone (305) 227-2700

737 NW 135TH Ave
Pembroke Pines, FL 33028-3157
Phone (786) 200-7553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11035864FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gelasio Baras MD PA CurrentSince Mar 7, 2025 Accepting new patients

Locations

11760 SW 40th St
Ste 502
Miami, FL 33175
Phone (305) 226-8484

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1609696566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21741 SW 97TH CT",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21741 SW 97TH CT",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901176",
            "telephone_number": "786-624-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "YOLANDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11035864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

Verify at the official NPI Registry.