Rodrigo Baltodano Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME88226 Issued in FL

Legal business name

RODRIGO BALTODANO INC

Practice address

3125 Citrus Tower Boulevard
BLDG C
Clermont, FL 34711

Phone

(352) 394-0043

Fax

(352) 394-0640

NPI assigned

Jul 28, 2006

Last updated

Dec 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rodrigo Baltodano, MDNPI 1942225164

Title

Owner

Phone

(352) 394-0043

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rodrigo Baltodano, MD

  • Internal Medicine Physician
  • Clermont, FL
  • NPI 1942225164
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1265446918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 CITRUS TOWER BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116803",
            "telephone_number": "352-394-0043",
            "fax_number": "352-394-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 CITRUS TOWER BOULEVARD",
            "address_2": "BLDG C",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "352-394-0043",
            "fax_number": "352-394-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODRIGO BALTODANO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "BALTODANO",
        "authorized_official_first_name": "RODRIGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-394-0043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME88226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS",
            "identifier": "6179630001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonah C Robinson
• Melissa Lenore Robinson
• Marissa Robuck, BCBA
• Rocky Mountain Holdings, LLC
• Maria Rodgers, B.A, E.I.S
• Christian Niel Rodriguez Rodriguez, DPT
• Frankie Joel Rodriguez Rodriguez
• Nivia Elis Rodriguez Villanueva, MD
• Aidsa Rodriguez, RDN, LDN
• Andrea Rodriguez, LMHC

• Internal Medicine Physician in Clermont, FL
• Providers in Clermont, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.