Individual provider Active NPI

Vladimir L Rodriguez, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1952963167
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11003115 Issued in FL
Practice address
711 NW 23Rd Ave Ste 301
Miami, FL 33125-3395
Phone
(305) 643-4797
NPI assigned
Jul 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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 APRN11003115 FL Primary

Addresses

Primary practice location

711 NW 23Rd Ave Ste 301
Miami, FL 33125-3395

Mailing address

3380 W 73Rd Ter
Hialeah, FL 33018-1737
Phone (786) 488-6979

Other practice location 1

3380 W 73rd Ter
Hialeah, FL 33018-1737
Phone (786) 488-6979

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
I20200110000212 FL Practitioner - Nurse Practitioner 6305271925 Practice locations: Miami, FL

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1952963167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 W 73RD TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330181737",
            "telephone_number": "786-488-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 NW 23RD AVE STE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253395",
            "telephone_number": "305-643-4797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3380 W 73rd Ter",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330181737",
            "country_code": "US",
            "telephone_number": "786-488-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "VLADIMIR",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.