Individual provider Active NPI

Pedro Angel Rodriguez, ARNP

  • Adult Health Nurse Practitioner
  • Sebring, FL
National Provider Identifier
1881015071
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9278796 Issued in FL
Practice address
725 Porsche Ave
Sebring, FL 33872-2801
Phone
(786) 273-2871
NPI assigned
Dec 15, 2013
Last updated
Jan 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140506001162 FL Practitioner - Nurse Practitioner 9234362807 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9278796FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fabio Oliveros & Associates PA CurrentSince Jul 22, 2019 Accepting new patients
Palazzo Mental Health LLC CurrentSince May 21, 2023 Accepting new patients
Clinicare Medical Center, Inc. CurrentSince Apr 8, 2020 Accepting new patients
Palazzo Mental Health LLC CurrentSince Nov 11, 2021 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.