MR. LUIS G RODAS (NPI# 1609879360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609879360 |
| Entity Type | Individual |
| Full Name | MR. LUIS G RODAS |
| Credential | PA |
| Practice Address |
4001 N Ocean Dr Lauderdale By The Sea FL 33308-5968 |
| Mailing Address |
9 Ne 20th Ave Apt # 301 Deerfield Beach FL 33441-6114 |
| Practice Telephone | 9547714000 |
| Practice Fax Number | 9547760670 |
| Mailing Telephone | 9544291303 |
| Mailing Fax Number | 9543370157 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9100841 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PHYSICIAN ASSISTANT LIC. | PA9100841 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821618869 | Luis Dariel Rodas | Specialist/Technologist | 4650 Buccaneer Trl, Chattanooga, TN 37411-1247 | 2020-04-20 |
| 1952688343 | Luis Gerardo Rodas Jr. | Pharmacist | 3015 S University Dr, Davie, FL 33328-2013 | 2011-11-14 |
| Street Address |
4001 N OCEAN DR |
| City | LAUDERDALE BY THE SEA |
| State | FL |
| Zip Code | 33308-5968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083155477 | Ocean Manor Professional Group LLC | Counselor | 4001 N Ocean Dr, Ste 305, Lauderdale By The Sea, FL 33308-5968 | 2017-03-17 |
| 1013331453 | Sierra Dental Inc | Dentist | 4001 N Ocean Dr, Suite #202, Lauderdale By The Sea, FL 33308-5968 | 2014-02-05 |
| 1164604229 | Sound Medtrex Inc | Radiologic Technologist | 4001 N Ocean Dr, 304, Lauderdale By The Sea, FL 33308-5968 | 2007-11-30 |
| 1033308598 | Curemed | Radiologic Technologist | 4001 N Ocean Dr, 304, Lauderdale By The Sea, FL 33308-5968 | 2007-10-22 |
| 1003848508 | Amy Cohen Nehrke | Physical Therapist | 4001 N Ocean Dr, Suite 302, Lauderdale By The Sea, FL 33308-5968 | 2006-07-06 |
| 1396796561 | New Paradigm Health | Audiologist | 4001 N Ocean Dr, Suite 302, Lauderdale By The Sea, FL 33308-5928 | 2006-05-13 |
| 1912956087 | Julietta Ruth Wenzel | Physical Therapist | 4001 N Ocean Dr, Suite 302, Lauderdale By The Sea, FL 33308-5928 | 2006-05-08 |
| 1073562369 | Todd Robert James | Physical Therapist | 4001 N Ocean Dr, Suite 302, Lauderdale By The Sea, FL 33308-5928 | 2006-05-06 |
| 1598713802 | Ocean Therapy Center Inc | Physical Therapist | 4001 N Ocean Dr, Suite 302, Lauderdale By The Sea, FL 33308-5928 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | LAUDERDALE BY THE SEA |
| Zip Code | 33308 |
Please comment or provide details below to improve the information on MR. LUIS G RODAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.