Individual provider Active NPI

Alicia M Rodriguez Martinez, NP

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1891337341
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11004852 Issued in FL
Practice address
9980 Pines Blvd
Pembroke Pines, FL 33024-6139
Phone
(954) 334-3151
Fax
(954) 675-5719
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11004852 FL Primary

Addresses

Primary practice location

9980 Pines Blvd
Pembroke Pines, FL 33024-6139

Mailing address

17570 NW 10TH St
Pembroke Pines, FL 33029-3117
Phone (954) 551-3023

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
I20210422000705 FL Practitioner - Nurse Practitioner 2860800364 Reassigns benefits to 1 organization
Practice locations: Pembroke Pines, FL; Hialeah, FL

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VMFL Medical Centers LLC CurrentSince Jan 22, 2024 Accepting new patients
VMFL Medical Centers LLC CurrentSince Jan 22, 2024 Accepting new patients
Orcasita M. D. & Associates LLC Past Accepting new patients

Locations

9000 NW 15th St
Unit 6
Doral, FL 33172
Phone (305) 505-7149

109 Royal Palm Way
Palm Beach, FL 33480

9980 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 334-3151

Interoperability endpoints

  • Direct secure messaging: alicia.rodriguezmartinez.p1@direct.vivamasmedical.nextgenshare.com

Organizations & group practices 3

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": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1891337341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17570 NW 10TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293117",
            "telephone_number": "954-551-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246139",
            "telephone_number": "954-334-3151",
            "fax_number": "954-675-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ MARTINEZ",
        "first_name": "ALICIA",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11004852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.