Individual provider Active NPI

Maylen Rodriguez

  • Certified Registered Nurse Anesthetist
  • Hollywood, FL
National Provider Identifier
1790364883
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11026612 Issued in FL
Practice address
4089 Forest Hill Dr
Hollywood, FL 33026-1138
Phone
(305) 496-5541
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN11026612 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4089 Forest Hill Dr
Hollywood, FL 33026-1138

Mailing address

4089 Forest Hill Dr
Hollywood, FL 33026-1138
Phone (305) 496-5541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230906000536 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113380379 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Medical Services - Anesthesiology Division LLCGroup PAC ID 4284156613, 62 clinicians

Practice addresses (Care Compare)

8260 W Flagler St
Suite 1a
Miami, FL 33144-2069
Phone (786) 715-9183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 16, 2025 Accepting new patients
University of Miami CurrentSince Jul 18, 2025 Accepting new patients
University of Miami Current Accepting new patients
Nova Medical Services - Anesthesiology Division LLC CurrentSince Feb 13, 2025 Accepting new patients
South Florida Anesthesia & Pain Treatment, P.a. Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
Palmetto Anesthesia Specialists LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 23, 2023 Accepting new patients
University of Miami CurrentSince Jul 18, 2025 Accepting new patients
Miami Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 15, 2025 Accepting new patients

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

306 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 458-1689

651 E 25th St
Ste 205
Hialeah, FL 33013

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

13837 Circa Crossing Dr
Ste 100
Lithia, FL 33547
Phone (352) 256-2855

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

2111 Sole Mia Way
North Miami, FL 33181
Phone (786) 392-7653

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144

8260 W Flagler St
Ste 1A
West Miami, FL 33144
Phone (305) 220-4425

Organizations & group practices 8

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1790364883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4089 FOREST HILL DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330261138",
            "telephone_number": "305-496-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4089 FOREST HILL DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330261138",
            "telephone_number": "305-496-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MAYLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11026612",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.