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NPI Code Detail

MEDICARE: DR. JONATHAN A RODRIGUEZ

MEDICARE: DR. JONATHAN A RODRIGUEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2146D00000XPersonal Emergency Response Attendant05140251002FL
3171M00000XCase Manager/Care Coordinator
4363AS0400XSurgical Physician Assistant
5173000000XLegal Medicine
6174H00000XHealth Educator
72355A2700XAudiology AssistantAI473FL
8251J00000XNursing Care Agency
9374J00000XDoulaCD318
10374U00000XHome Health AideHHA2910FL
11376K00000XNurse's Aide

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699136606
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHAN A RODRIGUEZ
Provider Business Mailing Address
First Line : 10383 SW 186TH ST
Second Line :
City : CUTLER BAY
State : FL
Zip : 33157-6824
Country : US
Telephone Number : 202-393-9697
Fax Number :
Provider Business Practice Location Address
First Line : 10383 SW 186TH ST
Second Line :
City : CUTLER BAY
State : FL
Zip : 33157-6824
Country : US
Telephone Number : 786-560-9069
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2016
Last Update Date : 03/07/2025

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Directions to “ DR. JONATHAN A RODRIGUEZ ” Practice Location

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