Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carlos Miguel Rodriguez

Individual provider Family Nurse Practitioner · NPI 1619596657

Carlos Miguel Rodriguez is a Nurse Practitioner in Miami Lakes, Florida. Qualified in 2019, 7 years ago. Practices with Univida Medical Center LLC, a 20-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2020
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Practice location Address checks out

15225 NW 77th Ave
Miami Lakes, FL 33014-7804
Phone: (305) 587-2747
Fax: (888) 498-3163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11006267 (FL)

Record details

NPI number1619596657
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 9, 2020
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Univida Medical Center Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Miami Lakes