MR. JESUS RODRIGUEZ (NPI# 1396179255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396179255 |
| Entity Type | Individual |
| Full Name | MR. JESUS RODRIGUEZ |
| Credential | PA-C |
| Practice Address |
10095 N Kendall Dr Suite 102 Miami FL 33176-1797 |
| Practice Telephone | 3055955455 |
| Mailing Telephone | 3055955455 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2015-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9107378 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NPI | 1396179255 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114531746 | Jesus Rodriguez | Massage Therapist | 322 Dempsey Rd Apt 1, Milpitas, CA 95035-5541 | 2020-09-01 |
| 1841840097 | Jesus Jaime Rodriguez | Technician | 805 N. Pauline St., Anaheim, CA 92805 | 2019-09-18 |
| 1174179717 | Jesus Rodriguez | Technician | 1115 Camellia St, Escondido, CA 92027-1533 | 2019-08-09 |
| 1841757267 | Jesus Abel Rodriguez | Counselor | 73 N 2nd Ave Apt B, Chula Vista, CA 91910-1124 | 2019-02-21 |
| 1932681582 | Jesus Rodriguez | Nurse Practitioner | 3191 Grand Ave Fl 33133, Miami, FL 33133-5103 | 2018-08-30 |
| 1063535490 | Jesus Rodriguez | Occupational Therapy Assistant | 306 S Bryan Rd, Mission, TX 78572-6222 | 2007-04-09 |
| 1841214996 | Jesus Manuel Rodriguez | General Practice | 9605 W Flagler St, Miami, FL 33174 | 2006-07-26 |
| 1033274410 | Jesus S Rodriguez | Psychiatry & Neurology | 142 E 49th St, Hialeah, FL 33013-1853 | 2006-07-18 |
| 1619910122 | Jesus Rodriguez | Specialist | 158 Calle Los Mirtos, Hyde Park, San Juan, PR 00927-4236 | 2006-06-13 |
| 1174582753 | Jesus Manuel Rodriguez | Registered Nurse | W8 Calle Monte Del Estado, Colinas Metropolitanas, Guaynabo, PR 00969-5238 | 2006-03-21 |
| Street Address |
10095 N KENDALL DR SUITE 102 |
| City | MIAMI |
| State | FL |
| Zip Code | 33176-1797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083689772 | Lester Frederick Shalloway | Internal Medicine | 10095 N Kendall Dr, Suite 102, Miami, FL 33176-1797 | 2006-02-17 |
| 1699145177 | Maria Sorensen | Physician Assistant | 10095 N Kendall Dr, Suite 102, Miami, FL 33176-1797 | 2015-09-28 |
| 1821289604 | Smith Matza & Kutner LLC | Internal Medicine | 10095 N Kendall Dr, Suite 102, Miami, FL 33176-1797 | 2007-08-06 |
| 1780633859 | Eric Stanton Smith | Family Medicine | 10095 N Kendall Dr, Suite 102, Miami, FL 33176-1797 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064162 | Majela Muse | Nurse Practitioner | 9550 Sw 92th St, Miami, FL 33176 | 2020-08-24 |
| 1104443647 | Karina G Castillo | Counselor | 14808 Sw 116th Ave, Miami, FL 33176 | 2020-07-01 |
| 1710515721 | Diana Almeida Araujo | Counselor | 11050 North Kendall Drive, Suite 102, Miami, FL 33176 | 2020-03-27 |
| 1255826285 | Rebecca Arteaga | Behavioral Analyst | 10150 Sw 88th St Apt 104, Miami, FL 33176 | 2018-06-22 |
| 1356834337 | Ag Special Therapy Services Corp | Physical Therapist | 12670 Sw 93 Place, Miami, FL 33176 | 2018-06-13 |
| 1063928562 | Dade Behavioral Services Inc | Behavioral Analyst | 10689 N Kendall Dr Ste 309, Miami, FL 33176 | 2017-12-19 |
| 1619409596 | Antonio Medina Rodriguez | Behavior Technician | 9530 Sw 93 Ct, Miami, FL 33176 | 2017-03-30 |
| 1801348552 | Suresh Rana | Specialist/Technologist, Other | 8780 Sw 88th Ave, Miami, FL 33176 | 2016-10-28 |
| 1205386794 | Orlando Sanchez | Behavior Technician | 10421 Sw 141 St Drive, Miami, FL 33176 | 2016-10-07 |
| 1073066759 | Clayton Davis | Dentist | 8940 N. Kendall Drive 604e, Miami, FL 33176 | 2016-07-28 |
| Find all providers in zip 33176 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574450 | Carlos Humberto Jaen Sr. | Physician Assistant | 1685 Sw 17th Ter, Miami, FL 33145-2809 | 2020-06-25 |
| 1386265122 | Monarch Mental Health Services, LLC | Physician Assistant | 648 Nw 183 St, Miami, FL 33169 | 2020-05-04 |
| 1174037477 | Polina Dasgupta | Physician Assistant | 1390 Brickell Ave Ste 340, Miami, FL 33131-3324 | 2017-11-22 |
| 1437514247 | Evelyn Hernandez | Physician Assistant | 13024 Sw 108th Street Cir, Miami, FL 33186-3419 | 2015-12-21 |
| 1366813966 | Mabel Marichal | Physician Assistant | 13205 Sw 137th Ave Ste 221, Miami, FL 33186 | 2015-10-08 |
| 1427444033 | Tecresha Shaw | Physician Assistant | 104 Nw 145th St, Miami, FL 33168-4930 | 2015-04-09 |
| 1356730964 | Christopher Alvaro Ortiz | Physician Assistant | 9401 Sw 105th Ave, Miami, FL 33176-2623 | 2015-01-20 |
| 1275937948 | Nicole Quicuti | Physician Assistant | 12061 Sw 126th Ter, Miami, FL 33186-6107 | 2014-10-09 |
| 1356750541 | Jonathan E Delvalle | Physician Assistant | 2400 Nw 54th St, Miami, FL 33142-2946 | 2014-08-13 |
| 1164853149 | Melissa Troha | Physician Assistant | 7800 Sw 87th Ave # B200, Miami, FL 33173 | 2013-12-02 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.