NPIMap

Individual provider Active NPI

Arturo Rodriguez-Martin, MD PL

  • Family Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1184605495
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME79916 Issued in FL
Practice address
22099 Elmira Blvd
Port Charlotte, FL 33952-7018
Phone
(941) 613-1351
Fax
(941) 613-1591
NPI assigned
Nov 14, 2005
Last updated
Sep 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME79916 FL Primary

Addresses

Primary practice location

22099 Elmira Blvd
Port Charlotte, FL 33952-7018

Mailing address

PO Box 496016
Port Charlotte, FL 33949-6016
Phone (941) 613-1356

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040902000780 FL Practitioner - Family Practice 2961478813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1940 Tamiami TRL
Suite 104
Port Charlotte, FL 33948-2105
Phone (941) 883-0083

22099 Elmira Blvd
Port Charlotte, FL 33952-7018
Phone (941) 613-1356

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME79916FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brenda Gonzalez Camacho LCSW Current Accepting new patients
Arturo Rodriguez-Martin MD PL Family Medicine CurrentSince Sep 1, 2004 Accepting new patients

Locations

22099 Elmira Blvd
Pt Charlotte, FL 33952
Phone (941) 613-1356

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Port Charlotte Rehabilitation CenterPort Charlotte, FL, CCN 105524 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 27, 2017
Dec 11, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Deep Creek RNC, LLC

    dba Port Charlotte Rehabilitation Center

    • Skilled Nursing Facility
    • Port Charlotte, FL
    • NPI 1679560262

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1184605495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496016",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339496016",
            "telephone_number": "941-613-1356",
            "fax_number": "941-613-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22099 ELMIRA BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339527018",
            "telephone_number": "941-613-1351",
            "fax_number": "941-613-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-MARTIN",
        "first_name": "ARTURO",
        "credential": "MD PL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME79916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.