Active NPI
Lori R Rodrigues, MD
- Pediatrics Physician
- Palm Springs, FL
National Provider Identifier
1174503643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME149494
- Practice address
- 3580 Lake Worth Rd
Palm Springs, FL 33461-4029 - Phone
- (561) 425-5085
- Fax
- (561) 429-5167
- NPI assigned
- Jan 19, 2006
- Last updated
- Jan 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME149494 | FL | Primary |
Addresses
Primary practice location
3580 Lake Worth Rd
Palm Springs, FL 33461-4029
Mailing address
3580 Lake Worth Rd
Palm Springs, FL 33461-4029
Phone (561) 425-5085
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111589300 | Medicaid | FL | |
| 01018526 | Medicaid | VA |
Other names 1
- Miss Lori R Martin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME149494 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soma Medical Center PA 7 | Pediatrics | Current | Accepting new patients |
| Soma Medical Center PA 7 | Pediatrics | Current | Accepting new patients |
Locations
3580 Lake Worth Rd
Palm Springs, FL 33461
Phone (561) 425-5075
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Lake Worth, FL
- NPI 1740690254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1174503643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3580 LAKE WORTH RD",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334614029",
"telephone_number": "561-425-5085",
"fax_number": "561-429-5167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 LAKE WORTH RD",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334614029",
"telephone_number": "561-425-5085",
"fax_number": "561-429-5167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUES",
"first_name": "LORI",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-19",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME149494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111589300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01018526",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "MARTIN",
"middle_name": "R",
"prefix": "MISS",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palm Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.