Individual provider Active NPI

Pedro Garcia Rodriguez

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1750030383
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS20955 Issued in FL
Practice address
11701 Mills Dr
Miami, FL 33183-4824
Phone
(305) 270-2700
NPI assigned
Mar 21, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS20955 FL Primary

Addresses

Primary practice location

11701 Mills Dr
Miami, FL 33183-4824

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pedro.garcia.rodriguez.1@29601.direct.athenahealth.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250718003093 FL Practitioner - Family Practice 1254847056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

5801 Miami Lakes Dr
Miami Lakes, FL 33014-2401
Phone (305) 821-9115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS20955FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC Family Medicine CurrentSince Aug 4, 2025 Accepting new patients

Locations

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

11701 Mills Dr
Miami, FL 33183
Phone (305) 270-2700

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

5801 Miami Lakes Dr E
Miami Lakes, FL 33014
Phone (305) 821-9115

Organizations & group practices 1

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": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1750030383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 MILLS DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834824",
            "telephone_number": "305-270-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA RODRIGUEZ",
        "first_name": "PEDRO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-21",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS20955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pedro.garcia.rodriguez.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "11701 Mills Dr",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331834824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.