Individual provider Active NPI

Lucy Ann Rodriguez Perez, M.D.

  • General Practice Physician
  • Kissimmee, FL
National Provider Identifier
1225368111
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN 762 Issued in FL
Practice address
907 N Central Ave Ste a
Kissimmee, FL 34741-5002
Phone
(863) 588-4775
Fax
(863) 422-7664
NPI assigned
Dec 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN 762 FL Primary
General Practice Physician 208D00000X 17805 PR

Addresses

Primary practice location

907 N Central Ave Ste a
Kissimmee, FL 34741-5002

Mailing address

PO Box 878
Davenport, FL 33836-0878
Phone (689) 223-3898

Other practice location 1

17075 Cagan Ridge Blvd Ste 100
Clermont, FL 34714-9619
Phone (863) 588-4775

Other practice location 2

106 Park Place Blvd Ste C
Davenport, FL 33837-6868
Phone (863) 422-7664

Other names 1

  • Lucy A Rodriguez Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160720002554 FL Practitioner - General Practice 1456484294 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advantage Medical Group LLCGroup PAC ID 1153614623, 8 clinicians
Soni Family Practice PLLCGroup PAC ID 8224274840, 11 clinicians

Practice addresses (Care Compare)

1117 S Semoran Blvd
Orlando, FL 32807-1480
Phone (407) 930-1112

17075 Cagan Ridge Blvd
Suite 100
Clermont, FL 34714-9619
Phone (863) 588-4775

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN 762FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Doctors Center Inc CurrentSince Apr 20, 2026 Accepting new patients
Advantage Medical Group LLC General Practice CurrentSince Oct 3, 2015 Accepting new patients
Soni Family Practice, PLLC CurrentSince Apr 20, 2026 Accepting new patients
SFP PC Holdings, Inc. CurrentSince Apr 20, 2026 Accepting new patients
Advantage Medical Group LLC General Practice PastSince Jan 28, 2024 Accepting new patients
Soni Family Practice, PLLC Past Accepting new patients

Locations

17075 Cagan Ridge Blvd
Ste 100
Clermont, FL 34714

106 Park Place Blvd
Ste C
Davenport, FL 33837
Phone (863) 422-7664

280 Wekiva Springs Rd
Ste 1000
Longwood, FL 32779
Phone (407) 788-2273

2415 Enterprise Rd
Orange City, FL 32763
Phone (407) 930-1112

1117 S Semoran Blvd
Orlando, FL 32807
Phone (407) 930-1112

7824 Lake Underhill Rd
Ste B
Orlando, FL 32822
Phone (407) 281-0470

1111 S Semoran Blvd
Ste B
Orlando, FL 32807
Phone (407) 930-1112

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIBDAD

Organizations & group practices 6

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1225368111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 878",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338360878",
            "telephone_number": "689-223-3898",
            "fax_number": "689-223-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N CENTRAL AVE STE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415002",
            "telephone_number": "863-588-4775",
            "fax_number": "863-422-7664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17075 Cagan Ridge Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347149619",
            "country_code": "US",
            "telephone_number": "863-588-4775",
            "fax_number": "863-588-4775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Park Place Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338376868",
            "country_code": "US",
            "telephone_number": "863-422-7664",
            "fax_number": "863-422-7664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ PEREZ",
        "first_name": "LUCY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-28",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN 762",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17805",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCY",
            "last_name": "RODRIGUEZ",
            "middle_name": "A",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.