Individual provider Active NPI

Marylu Fleitas Rodriguez

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1639989395
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11037136 Issued in FL
Practice address
9798 SW 24TH St
Miami, FL 33165-7574
Phone
(305) 220-3826
Fax
(786) 219-4263
NPI assigned
Jan 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11037136 FL Primary

Addresses

Primary practice location

9798 SW 24TH St
Miami, FL 33165-7574

Mailing address

9798 SW 24TH St
Miami, FL 33165-7574
Phone (305) 220-3826

Other identifiers 1

IdentifierTypeStateIssuer
126439400MedicaidFL

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250401000021 FL Practitioner - Nurse Practitioner 0143743153 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12550 Biscayne Blvd
Suite 406
North Miami, FL 33181-2500

6355 NW 36TH St
Virginia Gardens, FL 33166-7050

9455 NW 114TH LN
Hialeah Gardens, FL 33018-4204

9798 SW 24TH St
Miami, FL 33165-7574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11037136FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banyan Community Health Center, Inc. Current Accepting new patients
Ac Medical Associates I, Inc. CurrentSince Mar 3, 2025 Accepting new patients
Banyan Community Health Center, Inc. CurrentSince Jul 21, 2025 Accepting new patients
Banyan Community Health Center, Inc. Past Accepting new patients

Locations

3850 W Flagler St
Coral Gables, FL 33134
Phone (305) 774-3300

3800 W Flagler St
Coral Gables, FL 33134
Phone (305) 774-3300

2300 NW 89th Pl
Fl 3
Doral, FL 33172

4900 W Oakland Park Blvd
Fl 3
Lauderdale Lakes, FL 33313
Phone (954) 327-4060

4770 Biscayne Blvd
Ste 1450
Miami, FL 33137
Phone (786) 536-2003

12550 Biscayne Blvd
Ste 406
North Miami, FL 33181
Phone (786) 536-2003

Interoperability endpoints

  • Direct secure messaging: marylu.fleitasrodriguez@bchc.directbygreenway.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1639989395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9798 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657574",
            "telephone_number": "305-220-3826",
            "fax_number": "786-219-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9798 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657574",
            "telephone_number": "305-220-3826",
            "fax_number": "786-219-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEITAS RODRIGUEZ",
        "first_name": "MARYLU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11037136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126439400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.