Virginio Rodriguez III

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME56648 Issued in FL

Legal business name

VIRGINIO RODRIGUEZ III

Practice address

345 Clyde Morris Blvd Ste 360
Ormond Beach, FL 32174-3114

Phone

(386) 873-4740

Fax

(386) 873-4742

NPI assigned

Sep 30, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Staci G Lewis

Title

Biller

Phone

(386) 873-4740

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• VR PEDIATRICS Doing business as

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

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1265869705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 CLYDE MORRIS BLVD STE 360",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743114",
            "telephone_number": "386-873-4740",
            "fax_number": "386-873-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 CLYDE MORRIS BLVD STE 360",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743114",
            "telephone_number": "386-873-4740",
            "fax_number": "386-873-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIO RODRIGUEZ III",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "STACI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "386-873-4740",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME56648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256164600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256164601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VR PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dakota Ladawn Victor
• Suzanne M Vienneau, OTR
• Anna Anonuevo Villarba, PT
• Vinayak V Purandare MD PL
• Abigail Vinson
• Visionone
• Ann-Marie Vitalis
• Nancy L. Voight, PHD
• Volusia & Flagler OB-GYN PA
• Volusia Brain and Spine LLC

• Pediatrics Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.