Individual provider Active NPI

Crosleivis Rodriguez

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1982242335
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005342 Issued in FL
Practice address
860 NW 42ND Ave. Suite 101
Miami, FL 33126-3312
Phone
(305) 204-0333
NPI assigned
Dec 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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 APRN11005342 FL Primary

Addresses

Primary practice location

860 NW 42ND Ave. Suite 101
Miami, FL 33126-3312

Mailing address

4353 NW 77TH Ave FL 3
Miami, FL 33166-6736
Phone (305) 204-0333

Other practice location 1

7000 W 12th Ave Ste 4
Hialeah, FL 33014-5154
Phone (305) 587-2812

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
I20200814002359 FL Practitioner - Nurse Practitioner 9234555699 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11005342FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Univida Medical Center LLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

860 NW 42nd Ave
Fl 5
Miami, FL 33126
Phone (305) 504-7885

4353 NW 77th Ave
Fl 3
Miami, FL 33166
Phone (302) 204-0333

860 NW 42nd Ave
Ste 101
Miami, FL 33126
Phone 3059461526 ext. 61526

6400 SW 8th St
West Miami, FL 33144
Phone (305) 239-2515

Interoperability endpoints

  • Direct secure messaging: crosleivis.rodriguez@univ.eclinicaldirectplus.com

Organizations & group practices 2

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": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1982242335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4353 NW 77TH AVE FL 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331666736",
            "telephone_number": "305-204-0333",
            "fax_number": "305-359-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 NW 42ND AVE. SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263312",
            "telephone_number": "305-204-0333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 W 12th Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330145154",
            "country_code": "US",
            "telephone_number": "305-587-2812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CROSLEIVIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.