Jenny Rodriguez

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9110103 Issued in FL

Practice address

3465 Galt Ocean Dr
101
Fort Lauderdale, FL 33308-7077

Phone

(786) 252-7837

NPI assigned

Apr 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Florida Urology Partners, LLP

  • Urology Physician
  • Tampa, FL
  • NPI 1447401955
  Medicare reassignment
• Florida Urology Partners LLP

  • Non-Pharmacy Dispensing Site
  • Tampa, FL
  • NPI 1285279430
  NPD (past)
• Tampa General Provider Network Inc

  • Urology Physician
  • Palm Springs, FL
  • NPI 1851030282
  NPD (past)

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1720511652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 GALT OCEAN DR",
            "address_2": "101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087077",
            "telephone_number": "954-566-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 GALT OCEAN DR",
            "address_2": "101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087077",
            "telephone_number": "786-252-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JENNY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Rodriguez, LMT
• German H Rodriguez, MD
• Gregory Rodriguez, MD, PHARMD
• Jasmari Rodriguez
• Jean Carlos Rodriguez
• Juan Carlos Rodriguez
• Juan Carlos Rodriguez, APRN
• Linnet Rodriguez, MD
• Lissete Rodriguez, APRN
• Marcia Rodriguez

• Physician Assistant in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.