Individual provider Active NPI

Laura Viviana Rodriguez, APRN

  • Acute Care Nurse Practitioner
  • Miami, FL
National Provider Identifier
1912641994
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11019225 Issued in FL
Practice address
5423 SW 153Rd Avenue Rd
Miami, FL 33185-4116
Phone
(305) 606-7512
NPI assigned
Apr 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11019225 FL Primary

Addresses

Primary practice location

5423 SW 153Rd Avenue Rd
Miami, FL 33185-4116

Mailing address

5423 SW 153Rd Avenue Rd
Miami, FL 33185-4116
Phone (305) 606-7512

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
I20231021000016 FL Practitioner - Nurse Practitioner 6608247432 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11019225FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC Current Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Oct 16, 2023 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Oct 16, 2023 Accepting new patients

Locations

20601 E Dixie Hwy
Ste 330
Aventura, FL 33180
Phone (305) 932-4198

1419 SE 8th Ter
Ste 200
Cape Coral, FL 33990

1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202

3680 Broadway
Fort Myers, FL 33901
Phone (239) 936-0380

78 SW 13th Ave
Ste 200
Miami, FL 33135
Phone (305) 642-6966

21150 Biscayne Blvd
Ste 104
Miami, FL 33180
Phone (305) 535-2170

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": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1912641994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5423 SW 153RD AVENUE RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854116",
            "telephone_number": "305-606-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5423 SW 153RD AVENUE RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854116",
            "telephone_number": "305-606-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LAURA",
        "middle_name": "VIVIANA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11019225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.