Luis G Rodas, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9100841 Issued in FL

Practice address

4001 N Ocean Dr
Lauderdale by the Sea, FL 33308-5968

Phone

(954) 771-4000

Fax

(954) 776-0670

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Neubauer Hyperbaric Neurologic Center, Inc.

  • Clinic/Center
  • Pompano Beach, FL
  • NPI 1942497748
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609879360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 NE 20TH AVE",
            "address_2": "APT # 301",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334416114",
            "telephone_number": "954-429-1303",
            "fax_number": "954-337-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 N OCEAN DR",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333085968",
            "telephone_number": "954-771-4000",
            "fax_number": "954-776-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODAS",
        "first_name": "LUIS",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9100841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LIC.",
            "identifier": "PA9100841",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl A Pfeffer, LMHC
• Physical Therapy Plus by the Sea LLC
• Carolina Pontes, COTA/L
• Reynald Pouliot, M.D.
• Richard Blanchar MD PA
• German Alberto Rosales, DDS
• Vishal Samuel, DPT
• Tarvehale Saunders, RN, LMT
• See by the Sea Optical
• Sher Dental of Fort Lauderdale PA

• Medical Physician Assistant in Lauderdale by the Sea, FL
• Providers in Lauderdale by the Sea, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.