Jose Antonio Rodriguez Gonzalez, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11011783 Issued in FL

Practice address

19425 SW 117TH CT
Miami, FL 33177-4410

Phone

(786) 720-5968

NPI assigned

Mar 23, 2021

Last updated

Mar 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• LC Health Management LLC

  dba Penate Medical Center

  • Family Medicine Physician
  • Miami, FL
  • NPI 1568000164
  Medicare reassignment NPD
• Sunshine Med Group, Inc

  • Clinic/Center
  • Coral Gables, FL
  • NPI 1679102917
  Medicare reassignment NPD

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1912583543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19425 SW 117TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331774410",
            "telephone_number": "786-720-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19425 SW 117TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331774410",
            "telephone_number": "786-720-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ GONZALEZ",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annelys Caridad Rodriguez Gonzalez, APRN
• Daniela Rodriguez Gonzalez
• Darilaynis Rodriguez Gonzalez
• Diunaysis Rodriguez Gonzalez
• Enier Rodriguez Gonzalez
• Leidy Rodriguez Gonzalez
• Maria Miroslaba Rodriguez Gonzalez, RBT
• Omar Rafael Rodriguez Gonzalez
• Rocio Rodriguez Gonzalez
• Violeta Rodriguez Gonzalez, BCBA

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.