Organization Active NPI

Vicente Rodriguez M D P a

  • Geriatric Psychiatry Physician
  • Miami, FL
National Provider Identifier
1710920434
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
Legal business name
VICENTE RODRIGUEZ M D P A
Practice address
12955 SW 42ND St
Suite 12
Miami, FL 33175-2902
Phone
(305) 383-6200
Fax
(305) 383-6177
NPI assigned
Jun 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vicente Rodriguez, M.D., M.B.A.
Title
President
Phone
(305) 383-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X NU Primary

Addresses

Primary practice location

12955 SW 42ND St
Suite 12
Miami, FL 33175-2902

Mailing address

PO Box 650878
Miami, FL 33265-0878
Phone (305) 383-6200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710920434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650878",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332650878",
            "telephone_number": "305-383-6200",
            "fax_number": "305-383-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 SW 42ND ST",
            "address_2": "SUITE 12",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752902",
            "telephone_number": "305-383-6200",
            "fax_number": "305-383-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICENTE RODRIGUEZ M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "VICENTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-383-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.B.A."
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NU",
            "license": null,
            "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 Aug 22, 2020; 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.