Idalberto Jesus Tejeda-Rodriguez

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN9437269 Issued in FL

Practice address

6295 Coral Way
Miami, FL 33155-2072

Phone

(786) 451-4105

NPI assigned

Aug 3, 2018

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

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Family Medicine Home Visits IncGroup PAC ID 4183972151, 3 clinicians

Luis del Prado MD PA CorpGroup PAC ID 9436387198, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Caritas Home Health Care Inc Home health agency, Miami, FL, CCN 109112

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Family Medicine Home Visits Inc

  • Primary Care Clinic/Center
  • Miami, FL
  • NPI 1902301658
  Medicare reassignment Care Compare group NPD
• Luis del Prado MD PA Corp

  • Family Medicine Physician
  • Miami, FL
  • NPI 1235567744
  Medicare reassignment Care Compare group NPD
• Bayamo Medical Center Inc

  • Family Medicine Physician
  • Miami, FL
  • NPI 1740851450
  Medicare reassignment NPD
• Henry E Paez M D P a

  • Family Medicine Physician
  • Miami, FL
  • NPI 1649310491
  Medicare reassignment NPD
• Oscar Herrera MD PA

  • Infectious Disease Physician
  • Miami, FL
  • NPI 1770983447
  Medicare reassignment NPD
• Tejeda Health Care LLC

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1912812314
  NPD (past) Authorized official
• Florida New Vision Inc

  • Community Health Clinic/Center
  • Miami, FL
  • NPI 1235719790
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Caritas Home Health Care, Inc.

  • Home Health Agency
  • Miami, FL
  • NPI 1184719775
  Care Compare affiliation

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1639657471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6295 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552072",
            "telephone_number": "786-451-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6295 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552072",
            "telephone_number": "786-451-4105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 NW 107th Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331723104",
            "country_code": "US",
            "telephone_number": "786-636-1402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEJEDA-RODRIGUEZ",
        "first_name": "IDALBERTO",
        "middle_name": "JESUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-03",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9437269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ismaray Tejeda Marrero
• Rosali De la Caridad Tejeda Perez
• Yadira Tejeda Perez
• Mabel Tejeda Torrecilla
• Marialys Tejeda Torres, RBT
• Bianca A Tejeda
• Dayrys Tejeda, D.M.D.
• Dulce Maria Tejeda
• Ivana A Tejeda, CF-SLP
• Natalie Cecilia Tejeda

• Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.

Verify at the official NPI Registry.