Individual provider Active NPI

Pedro Ramon Rodriguez

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1922450279
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9304504 Issued in FL
Practice address
6835 SW 39TH St
Miami, FL 33155-3732
Phone
(305) 318-8999
NPI assigned
Jul 11, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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 9304504 FL Primary

Addresses

Primary practice location

6835 SW 39TH St
Miami, FL 33155-3732

Mailing address

6835 SW 39TH St
Miami, FL 33155-3732
Phone (305) 318-8999

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
I20241022002657 FL Practitioner - Nurse Practitioner 0446694939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3401 NW 7TH St
Miami, FL 33125-4013
Phone (305) 708-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9304504FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hispano Medical Center LLC CurrentSince Aug 10, 2024 Accepting new patients

Locations

3401 NW 7th St
Miami, FL 33125
Phone (305) 642-2340

Organizations & group practices 1

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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1922450279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6835 SW 39TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553732",
            "telephone_number": "305-318-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6835 SW 39TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553732",
            "telephone_number": "305-318-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "PEDRO",
        "middle_name": "RAMON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9304504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.