Eileen Jaime Rodriguez, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11004873 Issued in FL

Practice address

6400 SW 8TH St
West Miami, FL 33144-4814

Phone

(305) 587-2747

Fax

(305) 587-2748

NPI assigned

Nov 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Univida Medical Center LLCGroup PAC ID 7214316868, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eileen.jaimerodriguez@univ.eclinicaldirectplus.com
• Direct secure messaging: eileenrodriguez@nlmii-fl.direct.office.nextgen.com

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.

• Univida Medical Center LLC

  • General Practice Physician
  • West Miami, FL
  • NPI 1487321774
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1821633116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 NW 42ND AVE",
            "address_2": "FL 5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263703",
            "telephone_number": "305-504-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 SW 8TH ST",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331444814",
            "telephone_number": "305-587-2747",
            "fax_number": "305-587-2748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15225 NW 77th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330147804",
            "country_code": "US",
            "telephone_number": "305-587-2747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIME RODRIGUEZ",
        "first_name": "EILEEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104997300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Indigo Medical, Inc.
• Infinity Home Care, Inc
• J & E Medical Center Inc
• J & L Medical Center , Inc.
• J.C.N.L. Corporation
• Jorge F Netto MD PA
• Kamila Pharmacy Discount Corp
• Kamila Pharmacy Discount, Corp
• Kasaq Hand Rehabilitation Inc
• Key Biscayne Pediatric Associates, Inc

• Family Nurse Practitioner in West Miami, FL
• Providers in West Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.