Individual provider Active NPI

Ileana M. Rodicio, MD

  • Allergy & Immunology Physician
  • Miami, FL
National Provider Identifier
1689638629
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME88103 Issued in FL
Practice address
9000 SW 137TH Ave
Suite 213
Miami, FL 33186-1411
Phone
(305) 388-0078
Fax
(305) 388-2029
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME88103 FL Primary

Addresses

Primary practice location

9000 SW 137TH Ave
Suite 213
Miami, FL 33186-1411

Mailing address

11880 SW 40TH St
Suite 304
Miami, FL 33175-3584
Phone (305) 223-8808

Other identifiers 2

IdentifierTypeStateIssuer
U1340ZOtherFLMEDICARE
267769500MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050729000656 FL Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 2567490618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Associates of South Florida PAGroup PAC ID 2365340908, 25 clinicians

Practice addresses (Care Compare)

21150 Biscayne Blvd
Suite 408
Aventura, FL 33180-1250
Phone (305) 932-3252

9000 SW 137TH Ave
213 Florida Center for Allergy and Asthma Car
Miami, FL 33186-1436
Phone (305) 388-0078

9035 Sunset Dr
Suite 202
Miami, FL 33173-3451
Phone (305) 279-3366

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME88103FLMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Associates of South Florida PA Allergy & Immunology CurrentSince Jul 7, 2003 Accepting new patients
Allergy & Asthma Associates of South Florida PA Allergy & Immunology CurrentSince Jul 7, 2003 Accepting new patients

Locations

21150 Biscayne Blvd
Ste 40
Aventura, FL 33180
Phone (305) 932-3252

100 NE 15th St
Ste 104
Homestead, FL 33030
Phone (305) 245-1100

11880 SW 40th St
Ste 304
Miami, FL 33175
Phone (305) 223-8808

9035 Sunset Dr
Ste 202
Miami, FL 33173
Phone (305) 279-3366

9000 SW 137th Ave
Ste 213
Miami, FL 33186
Phone (305) 388-0078

16401 NW 2nd Ave
Ste 204
North Miami Beach, FL 33169
Phone (305) 652-8151

1290 Weston Rd
Ste 300
Weston, FL 33326
Phone (954) 389-2599

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1689638629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11880 SW 40TH ST",
            "address_2": "SUITE 304",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753584",
            "telephone_number": "305-223-8808",
            "fax_number": "305-223-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 SW 137TH AVE",
            "address_2": "SUITE 213",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861411",
            "telephone_number": "305-388-0078",
            "fax_number": "305-388-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODICIO",
        "first_name": "ILEANA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME88103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "U1340Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267769500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.