| Jessica Rodriguez, ARNP | |
| 2734 Sw 37th Ave, Coconut Grove, FL 33133-2728 | |
| (305) 642-4263 | |
| (305) 426-3329 | 
| Full Name | Jessica Rodriguez | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 2734 Sw 37th Ave, Coconut Grove, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1154912855 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11009480 (Florida) | Primary | 
| Entity Name | Miami Hand Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1295062610 PECOS PAC ID: 3476686338 Enrollment ID: O20100729000790 | 
| Entity Name | Miami Breast Center Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1063726099 PECOS PAC ID: 3678756467 Enrollment ID: O20110401000262 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jessica Rodriguez, ARNP 12254 Sw 263rd Ter, Homestead, FL 33032-7035 Ph: () - | Jessica Rodriguez, ARNP 2734 Sw 37th Ave, Coconut Grove, FL 33133-2728 Ph: (305) 642-4263 | 
| Christopher Polanco,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2665 S Bayshore Dr Ste 220, Coconut Grove, FL 33133 Phone: 866-918-2114 | |
| Rafael Pena Pena, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2734 Sw 37th Ave, Coconut Grove, FL 33133 Phone: 305-642-4263 Fax: 305-426-3329 | |
| Itsvan Tejera, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2780 Sw 37th Ave Ste 202, Coconut Grove, FL 33133 Phone: 305-209-6070 |