Active NPI
Pedro E Rodriguez
- Psychiatric/Mental Health Nurse Practitioner
- Cape Coral, FL
National Provider Identifier
1952910283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11008125
- Practice address
- 3501 Del Prado Blvd S Ste 303
Cape Coral, FL 33904-7222 - Phone
- (239) 317-0265
- NPI assigned
- Jul 22, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11008125 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11008125 | FL | Primary |
Addresses
Primary practice location
3501 Del Prado Blvd S Ste 303
Cape Coral, FL 33904-7222
Mailing address
861 Palmetto Pointe Cir
Cape Coral, FL 33991-3608
Phone (305) 469-7761
Other practice location 1
8875 Hidden River Pkwy
Tampa, FL 33637-1035
Phone (866) 949-0108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11008125 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Behavioral Health LLC | Single Specialty | Current | Accepting new patients |
| Unlimited Home Health Services Corp | Current | Accepting new patients | |
| Florida Behavioral Center, Inc | Single Specialty | Current | Accepting new patients |
Locations
3501 Del Prado Blvd S
Ste 303
Cape Coral, FL 33904
Phone (239) 317-0265
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.
-
- Home Health Agency
- Fort Myers, FL
- NPI 1891004008
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Doral, FL
- NPI 1649733544
Single Specialty
-
dba Florida Healthcare System
- Community/Behavioral Health Agency
- Doral, FL
- NPI 1912334863
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1952910283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "861 PALMETTO POINTE CIR",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339913608",
"telephone_number": "305-469-7761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 DEL PRADO BLVD S STE 303",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339047222",
"telephone_number": "239-317-0265"
}
],
"practiceLocations": [
{
"address_1": "8875 Hidden River Pkwy",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336371035",
"country_code": "US",
"telephone_number": "866-949-0108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "PEDRO",
"middle_name": "E",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-22",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11008125",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11008125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.