Individual provider Active NPI

Alan Fernando Rodriguez-Rosa, M.D.

  • Internal Medicine Physician
  • Clearwater, FL
National Provider Identifier
1235500653
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME140551 Issued in FL
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

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190614001932 FL Practitioner - Internal Medicine 2365775814 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME140551FLMDInternal Medicine Physician
83533GAMDInternal Medicine Physician
52444KYMDInternal Medicine Physician
322247NYMDInternal Medicine Physician
22113PRMDInternal Medicine Physician
0101267417VAMDInternal Medicine Physician
58251TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of FL, LLC CurrentSince Apr 1, 2023 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.

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

Verify at the official NPI Registry.