Organization Active NPI

Carlos Rodriguez Ortiz MD, PA

  • Obstetrics & Gynecology Physician
  • Hialeah, FL
National Provider Identifier
1982116877
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME124265 Issued in FL
Legal business name
CARLOS RODRIGUEZ ORTIZ MD, PA
Practice address
705 E 26TH St
Hialeah, FL 33013-3823
Phone
(786) 332-2922
Fax
(786) 332-2956
NPI assigned
Oct 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Authorized official

Name
Dr. Carlos Alberto Rodriguez, MDNPI 1093028938
Title
President/Physician
Phone
(786) 326-4558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X ME124265 FL Primary

Addresses

Primary practice location

705 E 26TH St
Hialeah, FL 33013-3823

Mailing address

705 E 26TH St
Hialeah, FL 33013-3823
Phone (786) 332-2922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180709003291 FL Part B Supplier - Clinic/Group Practice 9436405206 Receives reassigned benefits from 7 practitioners
Practice locations: Hialeah, FL; Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2142196Carlos Rodriguez Ortiz MD PA705 E 26TH Street, Hialeah, FL 33013Certificate of waiverJan 4, 2028

National Provider Directory

National Provider Directory

Locations

777 E 25th St
Ste 501
Hialeah, FL 33013
Phone (305) 455-4284

11760 SW 40th St
Ste 642
Miami, FL 33175
Phone (305) 553-6744

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1982116877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E 26TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133823",
            "telephone_number": "786-332-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E 26TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133823",
            "telephone_number": "786-332-2922",
            "fax_number": "786-332-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS RODRIGUEZ ORTIZ MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "786-326-4558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME124265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.