IVAN LAVANDERA RODRIGUEZ
NPI 1417311622
Nurse Practitioner in Ft Lauderdale, FL

Q: What is Ivan Lavandera Rodriguez's NPI number?

The NPI number for Ivan Lavandera Rodriguez is 1417311622. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Q: What is Ivan Lavandera Rodriguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since April 13, 2016PECOS EnrolledAccepts Medicare Assignment

1995 E OAKLAND PARK BLVD STE 310, FT LAUDERDALE, FL 33306(954) 791-6146 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2021, Mar 31, 2021 (2 updates tracked since 2021).

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About Ivan Lavandera Rodriguez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVAN LAVANDERA RODRIGUEZ (NPI 1417311622) is an individual nurse practitioner in Ft Lauderdale, Florida, licensed in Florida (11012299) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital West, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417311622

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameIVAN LAVANDERA RODRIGUEZ

Location Address1995 E OAKLAND PARK BLVD STE 310Ft Lauderdale, FL 33306-1138

Mailing Address13533 Sw 62nd St Apt 3Miami, FL 33183-5094 · (716) 423-3042

Phone(954) 791-6146

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateApril 13, 2016

Last NPPES UpdateApril 5, 20212 updates tracked since enumeration

NPPES CertifiedApril 5, 2021

✔ NPI 1417311622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · 11012299

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 15-528 (FL)

1995 E OAKLAND PARK BLVD STE 310, Ft Lauderdale, FL 33306

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ivan Lavandera Rodriguez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860889649

PECOS Enrollment IDI20220426000660

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital West

Acute Care Hospitals · Pembroke Pines, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100281

Location703 N Flamingo RdPembroke Pines, FL 33028 · Broward County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33306 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NELSON SAID FIERRO SA-C

Specialist/Technologist, Other (Surgical Assistant)

1995 E OAKLAND PARK BLVD STE 310
FT LAUDERDALE, FL 33306

Broward County (954) 791-6146

ERIN E ANDERSON CSFA

Specialist/Technologist, Other (Surgical Assistant)

1995 E OAKLAND PARK BLVD STE 310
FORT LAUDERDALE, FL 33306

Broward County (954) 791-6146

FLORIDA PRACTITIONERS, LLC

Registered Nurse (Registered Nurse First Assistant)

1995 E OAKLAND PARK BLVD STE 310
FORT LAUDERDALE, FL 33306

Broward County (866) 996-8011

MRS. EMILY ANNE TAYLOR PA-C

Physician Assistant (Surgical)

1995 E OAKLAND PARK BLVD STE 310
FORT LAUDERDALE, FL 33306

Broward County (954) 791-6146

KYLE PHILIP PIAZZA PA

Physician Assistant (Surgical)

1995 E OAKLAND PARK BLVD STE 310
FT LAUDERDALE, FL 33306

Broward County (954) 791-6146

TALIA A CALABRO PA

Physician Assistant

1995 E OAKLAND PARK BLVD STE 310
FT LAUDERDALE, FL 33306

Broward County (954) 791-6146

ANNA JANE NICOLAS PA-C

Physician Assistant (Surgical)

1995 E OAKLAND PARK BLVD STE 310
FT LAUDERDALE, FL 33306

Broward County (954) 791-6146

CESAR ORLANDO MIRRIELES MIRANDA SA-C

Specialist/Technologist, Other (Surgical Assistant)

1995 E OAKLAND PARK BLVD STE 310
FORT LAUDERDALE, FL 33306

Broward County (954) 791-6146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Lavandera Rodriguez's NPI number?

The NPI number for Ivan Lavandera Rodriguez is 1417311622. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Where is Ivan Lavandera Rodriguez located?

Ivan Lavandera Rodriguez practices at 1995 E Oakland Park Blvd Ste 310, Ft Lauderdale, FL 33306. The listed phone number is (954) 791-6146.

What is Ivan Lavandera Rodriguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ivan Lavandera Rodriguez enrolled in Medicare?

Yes. Ivan Lavandera Rodriguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ivan Lavandera Rodriguez accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed and Oscar Health Maintenance Organization of Florida list Ivan Lavandera Rodriguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ivan Lavandera Rodriguez affiliated with any hospitals?

According to CMS data, Ivan Lavandera Rodriguez is affiliated with Memorial Hospital West.

When was this NPI record last updated?

The NPPES record for Ivan Lavandera Rodriguez was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.