Active NPI
Jose Rodriguez Valdes, M.D.
- Dermatology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME0029303
- Practice address
- 3661 S Miami Ave
Suite 102
Miami, FL 33133-4236 - Phone
- (305) 251-3991
- Fax
- (305) 251-7982
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME0029303 | FL | Primary |
Addresses
Primary practice location
3661 S Miami Ave
Suite 102
Miami, FL 33133-4236
Mailing address
3661 S Miami Ave
Suite 102
Miami, FL 33133-4236
Phone (305) 251-3991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070005008 | Medicaid | FL |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3659 S Miami Ave
Suite 6008
Miami, FL 33133-4221
Phone (305) 856-6555
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 141 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 26 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0029303 | FL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aqua Dermatology of Florida, PA | Dermatology | Current | Accepting new patients |
| Naples Center for Dermatology & Riverchase Dermatology | Current | Accepting new patients | |
| Colon OBGYN | Past | Accepting new patients |
Locations
7100 W 20th Ave
Ste 702
Hialeah, FL 33016
Phone (305) 825-3005
3661 S Miami Ave
Ste 102
Miami, FL 33133
Phone (305) 854-7814
3659 S Miami Ave
Ste 6006
Miami, FL 33133
Phone (305) 856-1461
3659 S Miami Ave
Ste 6008
Miami, FL 33133
Phone (305) 854-5432
1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- jrodvaldes@aquadermatology.emadirect.md
Organizations & group practices 3
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.
-
- Dermatology Physician
- Palm Beach Gardens, FL
- NPI 1538270335
-
- Durable Medical Equipment & Medical Supplies
- Cape Coral, FL
- NPI 1538645775
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1205635562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499904000000",
"number": "1619901618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3661 S MIAMI AVE",
"address_2": "SUITE 102",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334236",
"telephone_number": "305-251-3991",
"fax_number": "305-251-7982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3661 S MIAMI AVE",
"address_2": "SUITE 102",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334236",
"telephone_number": "305-251-3991",
"fax_number": "305-251-7982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ VALDES",
"first_name": "JOSE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2017-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME0029303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "070005008",
"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 Jul 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.