Active NPI
Pedro Angel Rodriguez, ARNP
- Adult Health Nurse Practitioner
- Sebring, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 9278796
- Practice address
- 725 Porsche Ave
Sebring, FL 33872-2801 - Phone
- (786) 273-2871
- NPI assigned
- Dec 15, 2013
- Last updated
- Jan 9, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 9278796 | FL | Primary |
Addresses
Primary practice location
725 Porsche Ave
Sebring, FL 33872-2801
Mailing address
725 Porsche Ave
Sebring, FL 33872-2801
Phone (786) 273-2871
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9278796 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fabio Oliveros & Associates PA | Current | Accepting new patients | |
| Palazzo Mental Health LLC | Current | Accepting new patients | |
| Clinicare Medical Center, Inc. | Current | Accepting new patients | |
| Palazzo Mental Health LLC | Current | Accepting new patients |
Locations
12540 SW 8th St
Miami, FL 33184
Phone (305) 705-6840
7145 Abbott Ave
Miami Beach, FL 33141
Phone (305) 861-6044
12890 Biscayne Blvd
North Miami, FL 33181
Phone (305) 899-1779
130 Medical Center Ave
Sebring, FL 33870
Phone (863) 385-2606
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60407
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Miami Beach, FL
- NPI 1235271198
-
- Nephrology Physician
- Sebring, FL
- NPI 1003147158
-
dba Palazzo Health Care Clinic
- Community Health Clinic/Center
- Miami, FL
- NPI 1326634270
-
- Behavior Analyst
- Miami, FL
- NPI 1063103505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610150400000",
"number": "1881015071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 PORSCHE AVE",
"city": "SEBRING",
"state": "FL",
"postal_code": "338722801",
"telephone_number": "786-273-2871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 PORSCHE AVE",
"city": "SEBRING",
"state": "FL",
"postal_code": "338722801",
"telephone_number": "786-273-2871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "PEDRO",
"middle_name": "ANGEL",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-15",
"last_updated": "2021-01-09",
"certification_date": "2021-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "9278796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.