Individual provider Active NPI

Ana Maria Rodriguez, D.M.D.

  • Public Health Dentistry
  • Haines City, FL
National Provider Identifier
1184835985
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
DN15480 Issued in FL
Practice address
1700 Baker Dairy Rd
Haines City, FL 33844-8839
Phone
(863) 256-1562
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D2303 PR
Public Health Dentistry 1223D0001X DN15480 FL Primary

Addresses

Primary practice location

1700 Baker Dairy Rd
Haines City, FL 33844-8839

Mailing address

35 Juan C. Borbon 67
P.M.B. 161
Guaynabo, PR 00969
Phone (787) 795-5420

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

State licenses

LicenseStateTypeSpecialty
DN15480FLMDPublic Health Dentist
D2303PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Aug 17, 2025 Accepting new patients
Florida Department of Health PastSince Aug 17, 2025 Accepting new patients

Locations

1290 Golfview Ave
Bartow, FL 33830
Phone (863) 519-7900

1700 Baker Dairy Rd
Haines City, FL 33844
Phone (863) 419-3252

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1184835985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 JUAN C. BORBON 67",
            "address_2": "P.M.B. 161",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-795-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BAKER DAIRY RD",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338448839",
            "telephone_number": "863-256-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ANA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "D2303",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "FL",
            "license": "DN15480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.