Julio Rodriguez Florido, SAC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

238000091 Issued in IL

Practice address

4221 Gregory Dr
Zion, IL 60099-1345

Phone

(847) 731-0627

Fax

(847) 731-0627

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1245277607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 GREGORY DR",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600991345",
            "telephone_number": "847-731-0627",
            "fax_number": "847-731-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 GREGORY DR",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600991345",
            "telephone_number": "847-731-0627",
            "fax_number": "847-731-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ FLORIDO",
        "first_name": "JULIO",
        "credential": "SAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IL",
            "license": "238000091",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "238000091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ILLINOIS",
            "identifier": "0004932660",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Idalys Rios
• Myra D. Ripley, OTR
• Vanja Z Rissky, FNP-BC
• Amy D. Rizman, PA-C
• Margaret Robinson, RN
• Teresita Rodriguez Florido, FNP-C
• Tulio E Rodriguez, M.D.
• Anuvesha Samala, M.D.
• Shannon Garcia Sarmiento, FNP-BC
• Nancy Schell, MD

• Surgical Physician Assistant in Zion, IL
• Providers in Zion, IL by specialty
• Surgical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.