Active NPI
Alan Fernando Rodriguez-Rosa, M.D.
- Internal Medicine Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME140551
- Practice address
- 5380 Tech Data Dr Ste 101
Clearwater, FL 33760-3122 - Phone
- (787) 221-4155
- NPI assigned
- Oct 12, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101267417 | VA | |
| Internal Medicine Physician | 207R00000X | 52444 | KY | |
| Internal Medicine Physician | 207R00000X | 22113 | PR | |
| Internal Medicine Physician | 207R00000X | 58251 | TN | |
| Internal Medicine Physician | 207R00000X | 83533 | GA | |
| Internal Medicine Physician | 207R00000X | 322247 | NY | |
| Internal Medicine Physician | 207R00000X | ME140551 | FL | Primary |
Addresses
Primary practice location
5380 Tech Data Dr Ste 101
Clearwater, FL 33760-3122
Mailing address
Envision Physician
5380 Tech Data Dr Suite 101
Clearwater, FL 33760
Phone (787) 221-4155
Other practice location 1
2213 Ponce By Pass
Hospital Damas
Ponce, PR 00717
Phone (787) 840-8686
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME140551 | FL | MD | Internal Medicine Physician |
| 83533 | GA | MD | Internal Medicine Physician |
| 52444 | KY | MD | Internal Medicine Physician |
| 322247 | NY | MD | Internal Medicine Physician |
| 22113 | PR | MD | Internal Medicine Physician |
| 0101267417 | VA | MD | Internal Medicine Physician |
| 58251 | TN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Medicine Services of FL, LLC | Current | Accepting new patients |
Locations
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969
Organizations & group practices 1
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.
-
- Hospitalist Physician
- Aventura, FL
- NPI 1710684857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1235500653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ENVISION PHYSICIAN",
"address_2": "5380 TECH DATA DR SUITE 101",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "33760",
"telephone_number": "787-221-4155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5380 TECH DATA DR STE 101",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337603122",
"telephone_number": "787-221-4155"
}
],
"practiceLocations": [
{
"address_1": "2213 Ponce By Pass",
"address_2": "Hospital Damas",
"address_purpose": "LOCATION",
"city": "PONCE",
"state": "PR",
"postal_code": "00717",
"country_code": "US",
"telephone_number": "787-840-8686",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ-ROSA",
"first_name": "ALAN",
"middle_name": "FERNANDO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-12",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101267417",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "52444",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "22113",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "58251",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "83533",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "322247",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME140551",
"primary": true
}
],
"identifiers": [],
"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 Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.