Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Idalberto Jesus Tejeda-Rodriguez

Individual provider Nurse Practitioner · NPI 1639657471

Idalberto Jesus Tejeda-Rodriguez is a Nurse Practitioner in Miami, Florida. Qualified in 2018, 8 years ago. Practices with Family Medicine Home Visits Inc, a 3-clinician group and works from 2 locations. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018
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Practice location Address checks out

6295 Coral Way
Miami, FL 33155-2072
Phone: (786) 451-4105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 730 Nw 107th Ave Ste 110, Miami, FL 33172-3104 — (786) 636-1402

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN9437269 (FL)

Record details

NPI number1639657471
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 3, 2018
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024
Mailing address6295 Coral Way, Miami, FL 33155-2072

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Family Medicine Home Visits Inc — 3 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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