Individual provider Active NPI

Ramon Antonio Rodriguez, M.D.

  • General Practice Physician
  • Miami Lakes, FL
National Provider Identifier
1760630891
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME121893 Issued in FL
Practice address
18590 NW 67TH Ave
Suite 101
Miami Lakes, FL 33015
Phone
(786) 454-9850
Fax
(305) 818-7405
NPI assigned
Sep 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME121893 FL Primary

Addresses

Primary practice location

18590 NW 67TH Ave
Suite 101
Miami Lakes, FL 33015

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other practice location 1

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

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
I20100629000490 FL Practitioner - Family Practice 8224169610 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME121893FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Associates, LLC. Family Medicine CurrentSince Apr 1, 2014 Accepting new patients
Conviva Medical Center Management LLC Family Medicine CurrentSince Dec 12, 2024 Accepting new patients
Miami Beach Medical Consultants, LLC. Family Medicine CurrentSince May 1, 2023 Accepting new patients

Locations

7291 Atlantic Ave
#48
Delray Beach, FL 33446
Phone (561) 344-1130

18590 NW 67th Ave
Ste 101
Hialeah, FL 33015
Phone (305) 819-8633

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

2417 US Highway 98 N
Lakeland, FL 33805
Phone (863) 821-0030

7500 SW 8th St
Ste 400
Miami, FL 33144

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

606 W Flagler St
Miami, FL 33130
Phone (305) 545-9292

10401 SW 40th St
Miami, FL 33165
Phone (305) 221-9657

11200 W Flagler St
Ste 101107
Miami, FL 33174
Phone (305) 370-3838

10860 SW 88th St
Miami, FL 33176
Phone (305) 552-5545

1200 Alton Rd
Miami Beach, FL 33139
Phone (305) 534-3242

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

1400 NW 107th Ave
Ste 500
Sweetwater, FL 33172
Phone (786) 534-4285

Organizations & group practices 3

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1760630891",
    "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",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18590 NW 67TH AVE",
            "address_2": "SUITE 101",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33015",
            "telephone_number": "786-454-9850",
            "fax_number": "305-818-7405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5801 Miami Lakes Dr E",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330142401",
            "country_code": "US",
            "telephone_number": "305-821-9115",
            "fax_number": "305-821-9150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RAMON",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME121893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.