Jose Rodriguez

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-21-12156 Issued in FL

Practice address

13835 SW 106TH Ter
Miami, FL 33186-3136

Phone

(786) 657-4366

NPI assigned

Feb 15, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1871186403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14311 SW 88TH ST APT 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331868076",
            "telephone_number": "786-657-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13835 SW 106TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863136",
            "telephone_number": "786-657-4366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13835 SW 106th Ter",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331863136",
            "country_code": "US",
            "telephone_number": "786-657-4366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-15",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-21-12156",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0454753",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jorge Rodriguez, MD
• Jorge Rodriguez
• Jorge A. Rodriguez, DMD
• Jorge Javier Rodriguez, APRN
• Jose Rodriguez
• Jose A Rodriguez, M.D.
• Jose I Rodriguez, RBT
• Jose Joaquin Rodriguez, MD
• Jose Lorenzo Rodriguez
• Jose Luis Rodriguez

• Assistant Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Assistant Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.