DR. LUIS JACOMINO RODRIGUEZ (NPI# 1649202920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649202920 |
| Entity Type | Individual |
| Full Name | DR. LUIS JACOMINO RODRIGUEZ |
| Credential | D.M.D., M.S. |
| Practice Address |
4695 W 4th Ave Hialeah FL 33012-3937 |
| Practice Telephone | 3058258888 |
| Practice Fax Number | 3058259909 |
| Mailing Telephone | 3058258888 |
| Mailing Fax Number | 3058259909 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN0013832 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 071356200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658248 | Luis Rodriguez | Psychologist | 1400 Eas Terry Dr Bldg 63 Garrison Hall 5th Floor, Pocatello, ID 83209-0001 | 2018-08-14 |
| 1972001980 | Luis Rodriguez Jr. | Social Worker | 3914 W Newton Ave, Visalia, CA 93291-8994 | 2018-01-24 |
| 1548700099 | Luis E Rodriguez | Chiropractor | Ab1 Calle Reina Isabel Local 1, Urb Bairoa, Caguas, PR 00727 | 2017-03-02 |
| 1134675036 | Luis Raul Rodriguez | Radiologic Technologist | 9056 Sw 148th Ct, Miami, FL 33196-4119 | 2016-08-30 |
| 1740654003 | Luis Alejandro Rodriguez | Specialist/Technologist, Other | 1134 Nw 183rd Ter, Pembroke Pines, FL 33029-3666 | 2015-11-23 |
| 1770955858 | Luis R Rodriguez | Student in an Organized Health Care Education/Training Program | 22 La Reserva Los Prados Guilarte, Caguas, PR 00726 | 2015-10-28 |
| 1104200997 | Luis Rodriguez | Military Health Care Provider | Uss Bremerton # 698, Fpo, AP 96661-2378 | 2015-07-13 |
| 1659791192 | Luis Alberto Rodriguez | Psychologist | 117 Calle Diosdado, Bo. Coco Nuevo, Salinas, PR 00751 | 2014-04-23 |
| 1043659972 | Luis Mauricio Rodriguez | Dentist | 17030 El Camino Real, Houston, TX 77058-2630 | 2013-06-25 |
| 1326284514 | Luis Javier Rodriguez | Nurse Practitioner | 26103 Glenbriar Spring Ln, Cypress, TX 77433-1355 | 2008-12-18 |
| Street Address |
4695 W 4TH AVE |
| City | HIALEAH |
| State | FL |
| Zip Code | 33012-3937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699324160 | Maria Antonia Espinosa | Behavior Technician | 520 W 38th Pl, Hialeah, FL 33012 | 2019-09-08 |
| 1972157428 | Fernandez Orthofeet Corp | Prosthetic/Orthotic Supplier | 3750 W 16th Ave Suite 102, Hialeah, FL 33012 | 2019-08-01 |
| 1790267045 | Teresita De Jesus Santander | Nurse Practitioner | 1414 West 43dr Pl, Hialeah, FL 33012 | 2018-09-04 |
| 1245721760 | Physical Therapy Now of South Florida LLC | Clinic/Center | 3595 West 20 Ave Ste B, Hialeah, FL 33012 | 2018-05-21 |
| 1346741618 | Yamirka Sanchez Perez | General Practice | 1840 W 49th St Ste 105, Hialeah, FL 33012 | 2018-02-22 |
| 1356840334 | Janet Rodriguez | Behavior Technician | 5430 W 10th Ct, Hialeah, FL 33012 | 2018-02-06 |
| 1235644642 | Gustavo Brache | Massage Therapist | 3905 West 20 Avenue, Suite 125, Hialeah, FL 33012 | 2017-12-07 |
| 1962911487 | Yenisey Garabito | Behavior Technician | 1805west 56st Apt 109, Hialeah, FL 33012 | 2017-09-27 |
| 1023536026 | Florida Dental Alliance | Dentist | 4355 W 16 Ave Suite, #205a, Hialeah, FL 33012 | 2017-08-30 |
| 1861919508 | Masury Montes De Oca | Behavior Technician | 261 W 35 Street, Hialeah, FL 33012 | 2017-08-24 |
| Find all providers in zip 33012 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124149844 | Mairelys Rodriguez | Dentist | 5323 W 20th Ave, Hialeah, FL 33012-2100 | 2007-04-02 |
| 1952418360 | Fausto Nicieza | Dentist | 1491 E 4th Ave, Hialeah, FL 33010-3527 | 2006-08-23 |
| 1659736726 | Ac Orthodontics | Dentist | 4410 W 16th Ave, Suite 54, Hialeah, FL 33012-7100 | 2015-12-16 |
| 1043417934 | Tomas Paul Marrecau | Dentist | 5323 W 20th Ave, Hialeah, FL 33012-2100 | 2007-07-02 |
| 1376752709 | Roger Alan Fine | Dentist | 1800 W 49th St, Suite 314, Hialeah, FL 33012-2900 | 2007-05-22 |
| 1225247679 | Roger A. Fine, D.d.s., P.a. | Dentist | 1800 W 49th St, Suite 314, Hialeah, FL 33012-2900 | 2007-05-22 |
| 1457578700 | Causey C. Lee, D.d.s., P.a. | Dentist | 1790 W 49th St, Suite 110, Hialeah, FL 33012-2992 | 2007-04-19 |
| 1588718043 | Rossana Hoyos | Dentist | 1800 W 49th St, 116, Hialeah, FL 33012-2900 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647215 | Matthew Inaba Pickron | Dentist | 6476 Lake Worth Rd, Lake Worth, FL 33463 | 2020-10-21 |
| 1366056848 | Brandon Lee Zipper | Dentist | 901 N Congress Ave Ste 107, Boynton Beach, FL 33426-3316 | 2020-09-02 |
| 1851903298 | Ocoee Dental & Orthodontics, P.a. | Dentist | 2910 Maguire Rd Ste 1005, Ocoee, FL 34761-4742 | 2020-08-18 |
| 1700411857 | Imagine Orthodontic Studio Pllc | Dentist | 3595 S Florida Ave, Lakeland, FL 33803-4860 | 2020-03-10 |
| 1952933541 | Katherine Kapernaros | Dentist | 1395 Center Dr Rm D7-35, Gainesville, FL 32610-3006 | 2020-02-11 |
| 1609408574 | Ortho 99 Plus 1 | Dentist | 7410 Merrill Road, Suite 2, Jacksonville, FL 32277 | 2020-02-10 |
| 1538709514 | Gardner Orthodontics | Dentist | 518 Hollyberry Lane, Suite 105, Orange Park, FL 32065 | 2020-01-08 |
| 1700421344 | Lindsay A Ringdahl Dmd Ms Pa | Dentist | 85 Weston Rd Unit 102, Weston, FL 33326-1158 | 2019-11-07 |
| 1942844493 | Daniel R Camacho | Dentist | 4330 Sheridan St Ste 201a, Hollywood, FL 33021-1406 | 2019-10-28 |
| 1982247102 | Thebis A. Franceschi | Dentist | 813 Delmar Way Apt 116, Delray Beach, FL 33483-3366 | 2019-10-21 |
| Find all providers with the same taxonomy | ||||
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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.