Individual provider Active NPI

Mayte Liz Fuster Rodriguez, APRN

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1740750322
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11000478 Issued in FL
Practice address
7785 NW 201 Ter
Hialeah, FL 33015
Phone
(786) 202-5615
NPI assigned
Nov 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11000478 FL Primary

Addresses

Primary practice location

7785 NW 201 Ter
Hialeah, FL 33015

Mailing address

7785 NW 201 Terr
Hialeah, FL 33015

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
I20190507002513 FL Practitioner - Nurse Practitioner 1254673536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9240 SW 72ND St
Suite 237
Miami, FL 33173-3264
Phone (305) 271-1919

Hospital & facility affiliations

  • Medcare Home Health Services, Inc. Home health agency, Miami, FL, CCN 107117
  • HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11000478FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J Hernandez MD PA CurrentSince Jan 1, 2025 Accepting new patients

Locations

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

9240 Sunset Dr
Ste 241
Miami, FL 33173
Phone (305) 271-1905

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1740750322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7785 NW 201 TERR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7785 NW 201 TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33015",
            "telephone_number": "786-202-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSTER RODRIGUEZ",
        "first_name": "MAYTE",
        "middle_name": "LIZ",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11000478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.