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

Nisis Marie Rodriguez, MD

Individual provider Family Medicine Physician · NPI 1457500258

Nisis Marie Rodriguez, MD is a Family Practice in Weston, Florida. Qualified in 2008, 18 years ago. Practices with Conviva Medical Center Management, LLC, a 562-clinician group and accepts Medicare assignment. Licensed in Florida, Ohio and Puerto Rico.

Years since qualifying
18
Licensed in
FL, OH, PR
In the registry since
2008
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

17160 Royal Palm Blvd Ste 2
Weston, FL 33326-2395
Phone: (954) 762-6440
Fax: (800) 618-2120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME159275 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 18416 (PR)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence 35.131606 (OH)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence 18416 (PR)

Record details

NPI number1457500258
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 17, 2008
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesGERIATRIC MEDICINE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Conviva Medical Center Management, Llc — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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