Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARYLU FLEITAS RODRIGUEZ
NPI 1639989395
Nurse Practitioner - Family in Hialeah, FL

Q: What is Marylu Fleitas Rodriguez's NPI number?

The NPI number for Marylu Fleitas Rodriguez is 1639989395. It was assigned to this individual provider in the NPPES registry on January 13, 2025.

Q: What is Marylu Fleitas Rodriguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since January 13, 2025PECOS Enrolled

149 W 21ST ST, HIALEAH, FL 33010(305) 220-3826(786) 219-4263 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 21, 2026, Apr 7, 2026, Nov 6, 2025 and 1 more (4 updates tracked since 2025).

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About Marylu Fleitas Rodriguez NPPES

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

MARYLU FLEITAS RODRIGUEZ (NPI 1639989395) is an individual family provider in Hialeah, Florida, licensed in Florida (APRN11037136) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1639989395

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARYLU FLEITAS RODRIGUEZ

Location Address149 W 21ST STHialeah, FL 33010-2615

Mailing Address9798 Sw 24th StMiami, FL 33165-7574 · (305) 220-3826 · Fax (786) 219-4263

Phone(305) 220-3826

Fax(786) 219-4263

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 13, 2025

Last NPPES UpdateSeptember 21, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2026

✔ NPI 1639989395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN11037136

149 W 21ST ST, Hialeah, FL 33010

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Other Identifiers 1

Medicaid126439400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marylu Fleitas Rodriguez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143743153

PECOS Enrollment IDI20250401000021

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33010 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

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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 6

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

MANELYS CAROLINA ZAPATA

Dentist (General Practice)