Individual provider Active NPI

Lazaro Luis Rodriguez Jr., PA-C

  • Physician Assistant
  • Plantation, FL
National Provider Identifier
1689136467
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9113634 Issued in FL
Practice address
1228 S Pine Island Rd Ste 310
Plantation, FL 33324-4583
Phone
(954) 392-1725
Fax
(954) 837-1113
NPI assigned
Apr 2, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA9113634 FL Primary

Addresses

Primary practice location

1228 S Pine Island Rd Ste 310
Plantation, FL 33324-4583

Mailing address

PO Box 100905
Atlanta, GA 30384-0905
Phone (954) 392-1725

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address LAZARORO@cerner.directbaptisthealth.com

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
I20201021002073 FL Practitioner - Physician Assistant 8123448651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1150 Campo Sano Ave
Coral Gables, FL 33146-1174
Phone (786) 268-6200

5000 University Dr
Coral Gables, FL 33146-2008
Phone (786) 308-3401

6200 SW 73 St
South Miami, FL 33143-4679
Phone (786) 662-4000

Hospital & facility affiliations

  • Doctors Hospital Hospital, Coral Gables, FL, CCN 100296
  • South Miami Hospital Hospital, Miami, FL, CCN 100154

Merit-based Incentive Payment System (MIPS)

Final score
83.58 of 100Reported as group
Quality
72.08
Promoting interoperability
99
Improvement activities
40
Cost
74.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Orthopedics, LLC Single Specialty CurrentSince Dec 2, 2021 Accepting new patients
Baptist Health Medical Group Orthopedics, LLC CurrentSince Dec 2, 2021 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Baptist Health Medical Group Physicians LLC Single Specialty Past Accepting new patients

Locations

1150 Campo Sano Ave
Fl 1
Coral Gables, FL 33146
Phone (502) 852-8905

15955 SW 96th St
Ste 401
Miami, FL 33196
Phone (786) 467-3430

19955 NW 27th Ave
Ste 200
Miami Gardens, FL 33056
Phone (786) 595-1310

1228 S Pine Island Rd
Ste 310
Plantation, FL 33324
Phone (954) 392-1725

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Interoperability endpoints

  • Direct secure messaging: lazaroro@cerner.directbaptisthealth.com
  • Direct secure messaging: lrodriguez128853@orlandohealth.medalliesdirect.net

Organizations & group practices 4

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 2

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": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1689136467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100905",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840905",
            "telephone_number": "954-392-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 S PINE ISLAND RD STE 310",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244583",
            "telephone_number": "954-392-1725",
            "fax_number": "954-837-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LAZARO",
        "middle_name": "LUIS",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LAZARORO@cerner.directbaptisthealth.com",
            "affiliation": "N",
            "address_1": "1228 S Pine Island Rd Ste 310",
            "city": "Plantation",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333244583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.