Organization Active NPI

Rodriguez Medical Group, PA, Inc.

  • Specialist
  • Miami, FL
National Provider Identifier
1629356944
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME104034 Issued in FL
Legal business name
RODRIGUEZ MEDICAL GROUP, PA, INC.
Practice address
15190 SW 136TH Street
Suite 15
Miami, FL 33196-2604
Phone
(305) 964-7689
Fax
(305) 964-7989
NPI assigned
Aug 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Mrs. Ines Rodriguez, ARNP
Title
President
Phone
(305) 964-7689

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME104034 FL Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X ARNP9243349 FL

Addresses

Primary practice location

15190 SW 136TH Street
Suite 15
Miami, FL 33196-2604

Mailing address

15190 SW 136TH Street
Suite 15
Miami, FL 33196-2604
Phone (305) 964-7689

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1629356944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15190 SW 136TH STREET",
            "address_2": "SUITE 15",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962604",
            "telephone_number": "305-964-7689",
            "fax_number": "305-964-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15190 SW 136TH STREET",
            "address_2": "SUITE 15",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962604",
            "telephone_number": "305-964-7689",
            "fax_number": "305-964-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODRIGUEZ MEDICAL GROUP, PA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "INES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-964-7689",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME104034",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9243349",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Feb 2, 2012; 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.