Organization Active NPI

Yanitza Rodriguez MD PA

  • Primary Care Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1861780694
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME 107763 Issued in FL
Legal business name
YANITZA RODRIGUEZ MD PA
Practice address
2623 S Seacrest Blvd Ste 213
Boynton Beach, FL 33435-7532
Phone
(561) 509-6888
Fax
(561) 509-6865
NPI assigned
Jul 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Authorized official

Name
Dr. Yanitza Rodriguez, MDNPI 1356515019
Title
Director
Phone
(770) 380-3498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME 107763 FL Primary

Addresses

Primary practice location

2623 S Seacrest Blvd Ste 213
Boynton Beach, FL 33435-7532

Mailing address

5350 10TH Ave N Ste 1
Greenacres, FL 33463-2071
Phone (678) 446-0729

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120305000678 FL Part B Supplier - Clinic/Group Practice 1052570413 Receives reassigned benefits from 1 practitioner
Practice locations: Boynton Beach, FL; Delray Beach, FL; Loxahatchee, FL

National Provider Directory

National Provider Directory

Locations

10075 S Jog Rd
Ste 311
Boynton Beach, FL 33437
Phone (561) 509-6888

2623 S Seacrest Blvd
Ste 213
Boynton Beach, FL 33435
Phone (561) 509-6888

5350 10th Ave N
Ste 1
Greenacres, FL 33463
Phone (561) 967-3136

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1861780694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 10TH AVE N STE 1",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632071",
            "telephone_number": "678-446-0729",
            "fax_number": "561-793-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 S SEACREST BLVD STE 213",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357532",
            "telephone_number": "561-509-6888",
            "fax_number": "561-509-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANITZA RODRIGUEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "YANITZA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-380-3498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME 107763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.