Organization Active NPI

Carlos O. Rodriguez, M.D., P.a.

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1619294550
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME81643 Issued in FL
Legal business name
CARLOS O. RODRIGUEZ, M.D., P.A.
Practice address
11855 Quail Roost Dr
Miami, FL 33177-3956
Phone
(305) 252-4000
NPI assigned
May 3, 2010
Last updated
Apr 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Carlos O Rodriguez, MDNPI 1093864548
Title
President
Phone
(305) 498-0106

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X ME81643 FL Primary

Addresses

Primary practice location

11855 Quail Roost Dr
Miami, FL 33177-3956

Mailing address

37 Shore Dr N
Miami, FL 33133-2613
Phone (305) 498-0106

Other identifiers 1

IdentifierTypeStateIssuer
EF024AOtherFLMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100618000223 FL Part B Supplier - Clinic/Group Practice 0345370334 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL; Coral Gables, FL

National Provider Directory

National Provider Directory

Locations

1933 SW 27th Ave
Ste 101
Miami, FL 33145
Phone (305) 858-2424

2575 SW 75th Ave
Miami, FL 33155
Phone (305) 265-9391

7060 SW 8th St
Miami, FL 33144
Phone (305) 261-1363

Practitioners & affiliated clinicians

Practitioners 1

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": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1619294550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 SHORE DR N",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332613",
            "telephone_number": "305-498-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11855 QUAIL ROOST DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331773956",
            "telephone_number": "305-252-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS O. RODRIGUEZ, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-498-0106",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME81643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "EF024A",
            "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 Apr 30, 2026; 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.