Jorge Javier Rodriguez, APRN
Nurse Practitioner, Family in Miami, FL. Individual provider (NPI-1).
NPI number1154048486
StatusActive
Last updated in NPPESOct 26, 2022
Details
- NPI
- 1154048486
- Entity type
- Individual (NPI-1)
- Name
- Jorge Javier Rodriguez
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2022
- Certification date
- Oct 26, 2022
- Last updated
- Oct 26, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11022463 | FL | Yes |
Practice location
4100 Nw 9th St Ste 100Miami, FL 33126-3678
Phone 305-301-6516 · Fax 305-642-0530
Mailing address
7530 W 14th AveHialeah, FL 33014-3408
Phone 305-301-6516
Is something wrong?
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