Individual provider Active NPI

William B Rodriguez, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1740478528
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11006638 Issued in FL
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

Updated by the provider on May 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1740478528MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230322001238 FL Practitioner - Nurse Practitioner 9739553322 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5428FLMDOptician
11006638FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unimed Medical Centers LLC CurrentSince Feb 6, 2023 Accepting new patients
Colls Optical,LLC PastSince May 25, 2021 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.

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

Verify at the official NPI Registry.