Organization Active NPI

Raul Rodriguez MD PA

  • Psychiatry Physician
  • Delray Beach, FL
National Provider Identifier
1063547974
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
RAUL RODRIGUEZ MD PA
Practice address
403 SE 1St St
Delray Beach, FL 33483-4540
Phone
(561) 266-8666
Fax
(561) 266-0033
NPI assigned
Feb 22, 2007
Last updated
Mar 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Authorized official

Name
Dr. Raul J Rodriguez, M.D.NPI 1467475913
Title
Medical Director
Phone
(561) 266-8866

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ME78266 FL
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

403 SE 1St St
Delray Beach, FL 33483-4540

Mailing address

403 SE 1St St
Delray Beach, FL 33483-4540
Phone (561) 266-8666

National Provider Directory

National Provider Directory
Tax ID family
Raul J Rodriguez Mdpa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1063547974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 SE 1ST ST",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334834540",
            "telephone_number": "561-266-8666",
            "fax_number": "561-266-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SE 1ST ST",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334834540",
            "telephone_number": "561-266-8666",
            "fax_number": "561-266-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL RODRIGUEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-266-8866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "ME78266",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.