Individual provider Active NPI

Jesus Ramon Rodriguez de la Torre, MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1861489726
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0050089 Issued in FL
Practice address
7801 SW 24TH St
Suite 115
Miami, FL 33155-6538
Phone
(305) 534-9009
Fax
(305) 907-5919
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0050089 FL Primary

Addresses

Primary practice location

7801 SW 24TH St
Suite 115
Miami, FL 33155-6538

Mailing address

7801 SW 24TH St
Suite 115
Miami, FL 33155-6538
Phone (305) 534-9009

Other identifiers 1

IdentifierTypeStateIssuer
048486500MedicaidFL

Other names 1

  • Jesus R Rodriguez Other name

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
I20110311000660 FL Practitioner - Internal Medicine 4385826361 Reassigns benefits to 2 organizations
Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7801 Coral Way
Miami, FL 33155-6538
Phone (305) 534-9009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0050089FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mar Medical Center LLC CurrentSince Sep 13, 2025 Accepting new patients
1055 Washington Avenue, Inc Internal Medicine Past Accepting new patients
Conviva Medical Center Management LLC Internal Medicine Past Accepting new patients

Locations

7821 Coral Way
Ste 129
Miami, FL 33155
Phone (305) 266-4651

Organizations & group practices 4

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1861489726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 SW 24TH ST",
            "address_2": "SUITE 115",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556538",
            "telephone_number": "305-534-9009",
            "fax_number": "305-907-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 SW 24TH ST",
            "address_2": "SUITE 115",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556538",
            "telephone_number": "305-534-9009",
            "fax_number": "305-907-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ DE LA TORRE",
        "first_name": "JESUS",
        "middle_name": "RAMON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0050089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048486500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESUS",
            "last_name": "RODRIGUEZ",
            "middle_name": "R",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.