Organization Active NPI

Gotardo a. Rodrigues MD LLC

  • Specialist
  • Miami, FL
National Provider Identifier
1912917709
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME69345 Issued in FL
Legal business name
GOTARDO A. RODRIGUES MD LLC
Practice address
78 SW 13 Ave
Suite 200
Miami, FL 33135-2483
Phone
(305) 642-6966
Fax
(305) 642-6965
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Gotardo Rodrigues, MD
Title
Owner
Phone
(305) 642-6966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME69345 FL Primary

Addresses

Primary practice location

78 SW 13 Ave
Suite 200
Miami, FL 33135-2483

Mailing address

78 SW 13 Ave
Suite 200
Miami, FL 33135-2483
Phone (305) 642-6966

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1912917709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 SW 13 AVE",
            "address_2": "SUITE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352483",
            "telephone_number": "305-642-6966",
            "fax_number": "305-642-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 SW 13 AVE",
            "address_2": "SUITE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352483",
            "telephone_number": "305-642-6966",
            "fax_number": "305-642-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTARDO A. RODRIGUES MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "RODRIGUES",
        "authorized_official_first_name": "GOTARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-642-6966",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME69345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.