Individual provider Active NPI

Suzette Marie Rodriguez, M.D.

  • Obstetrics & Gynecology Physician
  • Pembroke Pines, FL
National Provider Identifier
1871582932
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME92267 Issued in FL
Practice address
603 N Flamingo Rd
Suite 361
Pembroke Pines, FL 33028-1023
Phone
(954) 432-7900
Fax
(954) 433-4903
NPI assigned
Oct 20, 2005
Last updated
Mar 26, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME92267 FL Primary

Addresses

Primary practice location

603 N Flamingo Rd
Suite 361
Pembroke Pines, FL 33028-1023

Mailing address

603 N Flamingo Rd
Suite 361
Pembroke Pines, FL 33028-1023
Phone (954) 432-7900

Other identifiers 1

IdentifierTypeStateIssuer
276098300MedicaidFL

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
I20070226000738 FL Practitioner - Obstetrics/Gynecology 5395847024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tufts University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

603 N Flamingo Rd
361 Gemini OBGYN LLC
Pembroke Pines, FL 33028-1005
Phone (954) 432-7900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME92267FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
All Womens Healthcare of South Florida Inc Obstetrics & Gynecology Past Accepting new patients
All Womens Healthcare of Southern Florida Inc Obstetrics & Gynecology Past Accepting new patients
Feinerman Anesthesia PA PastSince Jun 5, 2017 Accepting new patients
Women's Health Center, Professional Association Obstetrics & Gynecology Past Accepting new patients
All Womens Healthcare of Southern Florida Inc Obstetrics & Gynecology Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1871582932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD",
            "address_2": "SUITE 361",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281023",
            "telephone_number": "954-432-7900",
            "fax_number": "954-433-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD",
            "address_2": "SUITE 361",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281023",
            "telephone_number": "954-432-7900",
            "fax_number": "954-433-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SUZETTE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME92267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276098300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.