Organization Active NPI

Jesus S Rodriguez, M.D. P.a.

  • Psychiatry Physician
  • Hialeah, FL
National Provider Identifier
1700157906
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0033464 Issued in FL
Legal business name
JESUS S RODRIGUEZ, M.D. P.A.
Practice address
142 E 49TH St
Hialeah, FL 33013-1853
Phone
(305) 822-1993
Fax
(305) 826-3788
NPI assigned
Jan 19, 2012
Last updated
Jan 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Dr. Jesus Silvestre Rodriguez, M.D.
Title
President
Phone
(305) 822-1993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME0033464 FL Primary

Addresses

Primary practice location

142 E 49TH St
Hialeah, FL 33013-1853

Mailing address

142 E 49TH St
Hialeah, FL 33013-1853
Phone (305) 822-1993

Other identifiers 1

IdentifierTypeStateIssuer
73053OtherFLMEDICARE PROVIDER TRANSACTION NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1700157906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 E 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131853",
            "telephone_number": "305-822-1993",
            "fax_number": "305-826-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131853",
            "telephone_number": "305-822-1993",
            "fax_number": "305-826-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESUS S RODRIGUEZ, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "SILVESTRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-822-1993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0033464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER TRANSACTION NUMBER",
            "identifier": "73053",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.