DR. ULISES LAZARO RODRIGUEZ AVILA (MD) – General Practice Physician, NPI 1588191449

DR. ULISES LAZARO RODRIGUEZ AVILA (MD) is a healthcare provider. based in Miami, Florida. specializing in GENERAL PRACTICE. They hold the professional credentials MD. They hold a License No. ACN1009 (FL). The NPI Number for DR. ULISES LAZARO RODRIGUEZ AVILA (MD) is 1588191449

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. ULISES LAZARO RODRIGUEZ AVILA (MD)
NPI
1588191449
Phone
Not provided
Address
6100 BLUE LAGOON DR STE 365
Enumeration Date
22 May 2017
Last Update Date
9 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7864763333
Graduation Year
2001 (25 years ago)
PAC ID
3577827088
Professional Enrollment ID
I20180509002726
Address ID
FL330543526OP321XXBLVD400

Contacts

Secure Messaging
ulises.rodriguez@cmg.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

1,466 GENERAL PRACTICE in FL

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Provider Addresses for DR. ULISES LAZARO RODRIGUEZ AVILA (MD)

  • Blue Lagoon Drive, Miami-Dade County, Florida, 33126, United States

    MIAMI, FL 331267010

    Phone:

    Type: Mailing

  • 321, Opa Locka Boulevard, Opa-locka, Miami-Dade County, Florida, 33054, United States

    OPA LOCKA, FL 330543526

    Phone: (786) 476-3333

    Fax: (786) 621-7816

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-05-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180509002726IGeneral PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33126)

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Reviews

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Frequently asked questions

Is DR. ULISES LAZARO RODRIGUEZ AVILA (MD) listed with a National Provider Identifier?
Yes — DR. ULISES LAZARO RODRIGUEZ AVILA (MD) has NPI 1588191449 on file in the registry.
Is DR. ULISES LAZARO RODRIGUEZ AVILA (MD) still an active registrant?
DR. ULISES LAZARO RODRIGUEZ AVILA (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. ULISES LAZARO RODRIGUEZ AVILA (MD)?
At a glance, DR. ULISES LAZARO RODRIGUEZ AVILA (MD) is tied to General Practice Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. ULISES LAZARO RODRIGUEZ AVILA (MD)?
Travel planning: use Miami, Florida as the reference point for DR. ULISES LAZARO RODRIGUEZ AVILA (MD), then confirm.
When was this NPI issued?
Enumeration for DR. ULISES LAZARO RODRIGUEZ AVILA (MD) is noted as May 22, 2017 where the registry provides it.

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