NPIMap

Individual provider Active NPI

Lorenzo Rodriguez Hernandez, MD

  • Trauma Surgery Physician
  • Miami Lakes, FL
National Provider Identifier
1679079826
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
ME163734 Issued in FL
Practice address
16836 NW 91St Ave
Miami Lakes, FL 33018-6324
Phone
(305) 609-4157
NPI assigned
Apr 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME163734 FL
Trauma Surgery Physician 2086S0127X ME163734 FL Primary

Addresses

Primary practice location

16836 NW 91St Ave
Miami Lakes, FL 33018-6324

Mailing address

16836 NW 91St Ave
Miami Lakes, FL 33018-6324
Phone (305) 609-4157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240304001290 FL Practitioner - General Surgery 7719322429 Reassigns benefits to 3 organizations
I20241126000135 TX Practitioner - General Surgery 7719322429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawnwood Healthcare Specialists LLCGroup PAC ID 4789750118, 47 clinicians

Practice addresses (Care Compare)

11760 SW 40TH St
Suite 722
Miami, FL 33175-8101
Phone (305) 559-1883

16836 NW 91St Ave
Miami Lakes, FL 33018-6324
Phone (305) 609-4157

Hospital & facility affiliations

  • HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209
  • Larkin Community Hospital Palm Springs Campus Hospital, Hialeah, FL, CCN 100050
  • Keralty Hospital Hospital, Miami, FL, CCN 100284
  • Palmetto General Hospital Hospital, Hialeah, FL, CCN 100187
  • Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008
  • Select Specialty Hospital-Miami Lakes Long-term care hospital, Miami Lakes, FL, CCN 102031
  • Kindred Hospital-South Florida-Ft Lauderdale Long-term care hospital, Fort Lauderdale, FL, CCN 102010
  • Select Specialty Hospital-Miami Long-term care hospital, Miami, FL, CCN 102001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME163734FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Surgery MD LLC Surgery CurrentSince Jan 12, 2024 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive CurrentSince Oct 21, 2024 Accepting new patients
Lawnwood Healthcare Specialists LLC CurrentSince Nov 1, 2024 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Oct 21, 2024 Accepting new patients
Rodriguez Surgical Institute LLC Surgery Current Accepting new patients

Locations

2402 Frist Blvd
Ste 204
Fort Pierce, FL 34950
Phone (772) 466-1113

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

11760 SW 40th St
Ste 301
Miami, FL 33175
Phone (305) 226-2020

11760 SW 40th St
Ste 722
Miami, FL 33175
Phone (305) 559-1883

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 5

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1679079826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16836 NW 91ST AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330186324",
            "telephone_number": "305-609-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16836 NW 91ST AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330186324",
            "telephone_number": "305-609-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ HERNANDEZ",
        "first_name": "LORENZO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME163734",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "FL",
            "license": "ME163734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.