Manuel M Rodriguez Sr., D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

19075 Issued in FL

Practice address

11600 Gladiolus Dr Ste 102a
Fort Myers, FL 33908-4565

Phone

(305) 542-4682

NPI assigned

Feb 25, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• My Best Facial Design PA

  • Oral and Maxillofacial Surgery Clinic/Center
  • Cape Coral, FL
  • NPI 1306646161
  NPD Authorized official

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1093955403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 GLADIOLUS DR STE 102A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084565",
            "telephone_number": "305-542-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 GLADIOLUS DR STE 102A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084565",
            "telephone_number": "305-542-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MANUEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-25",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "19075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Manuel Rodriguez
• Julio L Rodriguez, M.D.
• Karen Lorena Rodriguez, ARNP
• Latino Alberto Rodriguez, NP
• Livan Rodriguez, MASSAGE THERAPIST
• Melisa Maria Rodriguez, ARNP
• Melissa N Rodriguez
• Michael Alexander Rodriguez, PSYD
• Monica Lizeth Rodriguez, CNM
• Raysa Rodriguez, LCSW

• Dentist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.