Individual provider Active NPI

Miguel Rodriguez Triana

  • General Practice Physician
  • Plantation, FL
National Provider Identifier
1689144933
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1770 Issued in FL
Practice address
180 SW 84TH Ave
Plantation, FL 33324-2731
Phone
(954) 377-4970
NPI assigned
Nov 29, 2018
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 11000300 FL
General Practice Physician 208D00000X ACN1770 FL Primary

Addresses

Primary practice location

180 SW 84TH Ave
Plantation, FL 33324-2731

Mailing address

1997 NE 15TH Ave
Fort Lauderdale, FL 33305-3262
Phone (239) 572-5337

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
I20190320000067 FL Practitioner - Nurse Practitioner 1951641422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guidewell Sanitas I, LLCGroup PAC ID 9537447107, 124 clinicians

Practice addresses (Care Compare)

180 SW 84TH Ave
Plantation, FL 33324-2731
Phone (844) 665-4827

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1770FLMDGeneral Practice Physician
11000300FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SW Florida Regional Medical Center Inc CurrentSince Dec 10, 2018 Accepting new patients
Guidewell Sanitas I, LLC CurrentSince Nov 1, 2025 Accepting new patients
VKJ Associates Corp CurrentSince Mar 5, 2023 Accepting new patients
Quality Chiropractic Care LLC General Practice PastSince Dec 17, 2013 Accepting new patients
Ultra Care Medical Group Inc PastSince Jan 19, 2019 Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

5580 19th Ct SW
Ste 2
Naples, FL 34116
Phone (239) 304-2471

180 SW 84th Ave
Plantation, FL 33324
Phone (954) 271-2855

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9289/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1689144933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 NE 15TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333053262",
            "telephone_number": "239-572-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 SW 84TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242731",
            "telephone_number": "954-377-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ TRIANA",
        "first_name": "MIGUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-29",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11000300",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.