Individual provider Active NPI

Dania Rodriguez Perez, MD

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1346024890
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1601 Issued in FL
Practice address
10306 Clover Pine Dr
Tampa, FL 33647-3753
Phone
(939) 457-3240
NPI assigned
Aug 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1601 FL Primary

Addresses

Primary practice location

10306 Clover Pine Dr
Tampa, FL 33647-3753

Mailing address

888 S Parsons Ave
Brandon, FL 33511-6007
Phone (939) 457-3240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240311004031 PR Practitioner - General Practice 2264878321 Practice locations: San Juan, PR
I20241121004258 FL Practitioner - General Practice 2264878321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Doctor Medical Group CorpGroup PAC ID 6305100371, 5 clinicians

Practice addresses (Care Compare)

6822 W Waters Ave
Tampa, FL 33634-2212
Phone (813) 280-4909

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1601FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
My Doctor Medical Group Corp General Practice CurrentSince Sep 14, 2024 Accepting new patients

Locations

888 S Parsons Ave
Brandon, FL 33511
Phone (813) 684-2273

6822 W Waters Ave
Tampa, FL 33634
Phone (813) 280-4909

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19280/brand/1/csg/1/fhir/r4

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": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1346024890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 S PARSONS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116007",
            "telephone_number": "939-457-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10306 CLOVER PINE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473753",
            "telephone_number": "939-457-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ PEREZ",
        "first_name": "DANIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.