Organization Active NPI

Albert Rodriguez M.D., P.a.

  • Primary Care Clinic/Center
  • Tampa, FL
National Provider Identifier
1053612960
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME0048061 Issued in FL
Legal business name
ALBERT RODRIGUEZ M.D., P.A.
Practice address
3353 W Bearss Ave
Tampa, FL 33618-2100
Phone
(813) 908-5827
Fax
(813) 908-6132
NPI assigned
Nov 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Albert Rodriguez, MDNPI 1184739898
Title
President
Phone
(813) 908-5827

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME0048061 FL Primary

Addresses

Primary practice location

3353 W Bearss Ave
Tampa, FL 33618-2100

Mailing address

3353 W Bearss Ave
Tampa, FL 33618-2100
Phone (813) 908-5827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110506000349 FL Part B Supplier - Clinic/Group Practice 7517142565 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

3353 W Bearss Ave
Tampa, FL 33618
Phone (813) 908-5827

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1053612960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 W BEARSS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182100",
            "telephone_number": "813-908-5827",
            "fax_number": "813-908-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3353 W BEARSS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182100",
            "telephone_number": "813-908-5827",
            "fax_number": "813-908-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT RODRIGUEZ M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-908-5827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0048061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.