Organization Active NPI

Ubaldo S. Rodriguez, M.D.,P.a.

  • Specialist
  • Hialeah, FL
National Provider Identifier
1851693865
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25253 Issued in FL
Legal business name
UBALDO S. RODRIGUEZ, M.D.,P.A.
Practice address
3375 W 4TH Ave
Hialeah, FL 33012-4360
Phone
(305) 557-4020
Fax
(305) 888-6114
NPI assigned
Nov 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Authorized official

Name
Dr. Ubaldo S Rodriguez, MD
Title
President
Phone
(305) 557-4020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25253 FL Primary

Addresses

Primary practice location

3375 W 4TH Ave
Hialeah, FL 33012-4360

Mailing address

3375 W 4TH Ave
Hialeah, FL 33012-4360
Phone (305) 557-4020

Other identifiers 1

IdentifierTypeStateIssuer
059141600MedicaidFL

National Provider Directory

National Provider Directory

Locations

3375 W 4th Ave
Hialeah, FL 33012
Phone (305) 557-4020

NPI Registry JSON

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1851693865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 W 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124360",
            "telephone_number": "305-557-4020",
            "fax_number": "305-888-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 W 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124360",
            "telephone_number": "305-557-4020",
            "fax_number": "305-888-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UBALDO S. RODRIGUEZ, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "UBALDO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-557-4020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "25253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059141600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.