Individual provider Active NPI

Grettel Rodriguez Garcia

  • Obesity Medicine (Internal Medicine) Physician
  • Vero Beach, FL
National Provider Identifier
1063836005
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
License
23695 Issued in FL
Practice address
77 Royal Palm PT
Vero Beach, FL 32960-4253
Phone
(772) 237-3847
Fax
(772) 237-3042
NPI assigned
Feb 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23695 FL
Obesity Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RB0002X 23695 FL Primary

Addresses

Primary practice location

77 Royal Palm PT
Vero Beach, FL 32960-4253

Mailing address

77 Royal Palm PT
Vero Beach, FL 32960-4253
Phone (772) 237-3847

Other identifiers 1

IdentifierTypeStateIssuer
112653000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211206000621 FL Practitioner - Internal Medicine 2466770672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

77 Royal Palm PT
Vero Beach, FL 32960-4253
Phone (347) 342-2441

Hospital & facility affiliations

  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23695FLMDObesity Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermedik LLC Single Specialty CurrentSince Jun 10, 2021 Accepting new patients

Locations

77 Royal Palm Pt
Vero Beach, FL 32960
Phone (347) 342-2441

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GAEJDD/Endpoint/GAEJDD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1063836005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 ROYAL PALM PT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604253",
            "telephone_number": "772-237-3847",
            "fax_number": "772-237-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 ROYAL PALM PT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604253",
            "telephone_number": "772-237-3847",
            "fax_number": "772-237-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ GARCIA",
        "first_name": "GRETTEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "23695",
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "FL",
            "license": "23695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112653000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.