Individual provider Active NPI

Ines Rodriguez, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1659609410
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9243349 Issued in FL
Practice address
1176 SW 67TH Ave
Miami, FL 33144-4700
Phone
(305) 359-9838
Fax
(786) 224-6490
NPI assigned
Dec 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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 APRN9243349 FL Primary

Addresses

Primary practice location

1176 SW 67TH Ave
Miami, FL 33144-4700

Mailing address

7925 NW 12TH St Ste 201
Doral, FL 33126-1821
Phone (305) 874-3909

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
I20100610000942 FL Practitioner - Nurse Practitioner 3476683855 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN9243349FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parvaneh Medical Associates, Inc Current Accepting new patients
Centers of Medical Excellence, LLC CurrentSince Apr 1, 2022 Accepting new patients

Locations

7925 NW 12th St
Ste 201
Doral, FL 33126

1738 W 49th St
Ste 10
Hialeah, FL 33012
Phone (305) 698-8432

1501 NW 36th St
Miami, FL 33142
Phone (786) 260-8151

1176 SW 67th Ave
Miami, FL 33144
Phone (305) 359-9838

5850 W Flagler St
Miami, FL 33144
Phone (305) 263-9590

15529 Bull Run Rd
Miami Lakes, FL 33014
Phone (305) 328-8922

Organizations & group practices 2

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": "1259971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1659609410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 NW 12TH ST STE 201",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261821",
            "telephone_number": "305-874-3909",
            "fax_number": "305-874-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 SW 67TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444700",
            "telephone_number": "305-359-9838",
            "fax_number": "786-224-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "INES",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-05",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9243349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.