Active NPI
William B Rodriguez, APRN
- Family Nurse Practitioner
- Miami, FL
National Provider Identifier
1740478528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11006638
- Practice address
- 2450 SW 137 Ave Suite 213
Miami, FL 33175-3317 - Phone
- (305) 491-7816
- NPI assigned
- Oct 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 5428 | FL | |
| Family Nurse Practitioner | 363LF0000X | 11006638 | FL | Primary |
Addresses
Primary practice location
2450 SW 137 Ave Suite 213
Miami, FL 33175-3317
Mailing address
5434 SW 8TH St
Coral Gables, FL 33134-2267
Phone (305) 444-8676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740478528 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Miami |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5428 | FL | MD | Optician |
| 11006638 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unimed Medical Centers LLC | Current | Accepting new patients | |
| Colls Optical,LLC | Past | Accepting new patients |
Locations
15100 NW 67th Ave
Ste 103
Miami Lakes, FL 33014
Phone (305) 328-4841
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.
-
- Family Medicine Physician
- Miami Lakes, FL
- NPI 1124777545
-
- Eyewear Supplier
- Miami, FL
- NPI 1306382296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1740478528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5434 SW 8TH ST",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331342267",
"telephone_number": "305-444-8676",
"fax_number": "305-444-5181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 SW 137 AVE SUITE 213",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753317",
"telephone_number": "305-491-7816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "WILLIAM",
"middle_name": "B",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-05",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "5428",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11006638",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740478528",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Miami",
"affiliation": "N",
"address_1": "2450 SW 137th Ave",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331758802",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 19, 2021; 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.