Organization Active NPI

Philip Rodriguez MD PA

  • Plastic Surgery Physician
  • Miami, FL
National Provider Identifier
1689965956
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
38936500128250 Issued in FL
Legal business name
PHILIP RODRIGUEZ MD PA
Practice address
1616 S Bayshore Dr
Miami, FL 33133-4202
Phone
(305) 858-3096
Fax
(305) 858-7052
NPI assigned
Apr 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Dr. Philip Rodriguez, MD
Title
President
Phone
(306) 858-3096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 38936500128250 FL Primary

Addresses

Primary practice location

1616 S Bayshore Dr
Miami, FL 33133-4202

Mailing address

1616 S Bayshore Dr
Miami, FL 33133-4202
Phone (305) 858-3096

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1689965956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 S BAYSHORE DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334202",
            "telephone_number": "305-858-3096",
            "fax_number": "305-858-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 S BAYSHORE DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334202",
            "telephone_number": "305-858-3096",
            "fax_number": "305-858-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP RODRIGUEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "306-858-3096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "38936500128250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.