Individual provider Active NPI

Raquel Yessedia Rodriguez, MD

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1285769398
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME85174 Issued in FL
Practice address
3160 Southgate Commerce Blvd Ste 34
Orlando, FL 32806-8550
Phone
(407) 423-5178
Fax
(407) 423-5616
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME85174 FL Primary

Addresses

Primary practice location

3160 Southgate Commerce Blvd Ste 34
Orlando, FL 32806-8550

Mailing address

3160 Southgate Commerce Blvd Ste 34
Orlando, FL 32806-8550
Phone (407) 423-5178

Other identifiers 1

IdentifierTypeStateIssuer
278165400MedicaidFL

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
I20040714001176 FL Practitioner - Internal Medicine 7618887621 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Management of Florida Inc CurrentSince Aug 9, 2013 Accepting new patients
Ebr Healthcare Services LLC Current Accepting new patients
Lakeland Regional Health Systems, Inc. CurrentSince Mar 4, 2026 Accepting new patients
Treasure Coast Rehabilitation L L C PastSince Apr 30, 2003 Accepting new patients
Treasure Coast Injury and Wellness Centre Past Accepting new patients

Locations

2940 S US Highway 1
Ste C11
Fort Pierce, FL 34982
Phone (407) 423-5178

1600 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 680-7190

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

7800 SW 24th St
Miami, FL 33155
Phone (305) 260-7506

2974 SW 8th St
Miami, FL 33135
Phone (305) 631-3000

3160 Southgate Commerce Blvd
Ste 34
Orlando, FL 32806
Phone (407) 423-5178

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: raquel.rodriguez@wellmed.eclinicaldirectplus.com

Organizations & group practices 5

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1285769398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 SOUTHGATE COMMERCE BLVD STE 34",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328068550",
            "telephone_number": "407-423-5178",
            "fax_number": "407-423-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 SOUTHGATE COMMERCE BLVD STE 34",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328068550",
            "telephone_number": "407-423-5178",
            "fax_number": "407-423-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RAQUEL",
        "middle_name": "YESSEDIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME85174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278165400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.