Organization Active NPI

Mauro Rodriguez, M.D.

  • Psychiatry Physician
  • Clearwater, FL
National Provider Identifier
1124385778
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0024891 Issued in FL
Legal business name
MAURO RODRIGUEZ, M.D.
Practice address
611 Druid Rd E Ste 506
Clearwater, FL 33756-3938
Phone
(727) 600-8090
Fax
(727) 600-8088
NPI assigned
Apr 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Dr. Mauro Rodriguez, M.D.NPI 1144293721
Title
Provider
Phone
(727) 600-8090

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME0024891 FL Primary

Addresses

Primary practice location

611 Druid Rd E Ste 506
Clearwater, FL 33756-3938

Mailing address

611 Druid Rd E Ste 506
Clearwater, FL 33756-3938
Phone (727) 600-8090

Other identifiers 2

IdentifierTypeStateIssuer
057718900MedicaidFL
52915OtherFLBLUE CROSS & BLUE SHIELD OF FLORIDA

National Provider Directory

National Provider Directory

Locations

611 Druid Rd E
Ste 506
Clearwater, FL 33756
Phone (727) 441-9715

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": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1124385778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 DRUID RD E STE 506",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563938",
            "telephone_number": "727-600-8090",
            "fax_number": "727-600-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 DRUID RD E STE 506",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563938",
            "telephone_number": "727-600-8090",
            "fax_number": "727-600-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURO RODRIGUEZ, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MAURO",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "727-600-8090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0024891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057718900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD OF FLORIDA",
            "identifier": "52915",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.