Individual provider Active NPI

Hector Antonio Rodriguez, MD

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1871608513
Registry record updated Sep 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME0057069 Issued in FL
Practice address
2400 NW 54TH St Ste 4
Miami, FL 33142-2946
Phone
(305) 633-9090
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME0057069 FL Primary

Addresses

Primary practice location

2400 NW 54TH St Ste 4
Miami, FL 33142-2946

Mailing address

2400 NW 54TH St Ste 4
Miami, FL 33142-2946
Phone (305) 633-9090

Other identifiers 1

IdentifierTypeStateIssuer
063649501MedicaidFL

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
I20100915000197 FL Practitioner - Family PracticePractitioner - General PracticePractitioner - Internal Medicine 0648395673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acevedo Medical Care Group IncGroup PAC ID 8123271947, 7 clinicians
Universal Therapy Center IncGroup PAC ID 4486732153, 40 clinicians

Practice addresses (Care Compare)

2400 NW 54TH St
Miami, FL 33142-2946
Phone (305) 633-9090

7223 Coral Way
Miami, FL 33155-1401
Phone (305) 264-0470

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acevedo Medical Care Group Inc General Practice CurrentSince Aug 15, 2017 Accepting new patients
Hyperbaric Therapy of Florida, Inc PastSince Feb 28, 2018 Accepting new patients
Bergen Orthopedics, Inc. Past Accepting new patients
Brownsville Medical Center Inc Past Accepting new patients

Locations

2400 NW 54th St
Miami, FL 33142
Phone (305) 633-9090

2525 NW 54th St
Miami, FL 33142
Phone (305) 615-1088

2400 NW 54th St
Ste 4
Miami, FL 33142
Phone (305) 633-9090

Organizations & group practices 5

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632614400000",
    "number": "1871608513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 NW 54TH ST STE 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331422946",
            "telephone_number": "305-633-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 NW 54TH ST STE 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331422946",
            "telephone_number": "305-633-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "HECTOR",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2021-09-26",
        "certification_date": "2021-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0057069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063649501",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.