Individual provider Active NPI

Gerardo Rodiguez

  • Home Delivered Meals
  • Doral, FL
National Provider Identifier
1760808646
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
License
2329281 Issued in FL
Practice address
7250 NW 11TH St
Doral, FL 33126-1903
Phone
(786) 399-8621
NPI assigned
Mar 14, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X 2329281 FL Primary
Medical Foods Supplier 335G00000X 2329281 FL

Addresses

Primary practice location

7250 NW 11TH St
Doral, FL 33126-1903

Mailing address

112 SW 76TH CT
Miami, FL 33144-2430
Phone (786) 399-8621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2329281FLMDMedical Foods Supplier

NPI Registry JSON

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1760808646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SW 76TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442430",
            "telephone_number": "786-399-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 NW 11TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261903",
            "telephone_number": "786-399-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODIGUEZ",
        "first_name": "GERARDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "FL",
            "license": "2329281",
            "primary": true
        },
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": "FL",
            "license": "2329281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.