Active NPI
Gotardo Alencar Rodrigues, M.D.
- Hematology & Oncology Physician
- Miami, FL
National Provider Identifier
1396797692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- ME0069345
- Practice address
- 78 SW 13TH Ave
Suite 200
Miami, FL 33135-2479 - Phone
- (305) 642-6966
- Fax
- (305) 642-6965
- NPI assigned
- May 16, 2006
- Last updated
- Jun 6, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | ME0069345 | FL | Primary |
| Medical Oncology Physician | 207RX0202X | ME69345 | FL |
Addresses
Primary practice location
78 SW 13TH Ave
Suite 200
Miami, FL 33135-2479
Mailing address
2234 Colonial Blvd
Attn: Payer Contracting & Relations Dept.
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0069345 | FL | MD | Hematology & Oncology Physician |
| ME69345 | FL | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesiscare USA of Florida LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Miami, FL
- NPI 1912917709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465171200000",
"number": "1396797692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 COLONIAL BLVD",
"address_2": "ATTN: PAYER CONTRACTING & RELATIONS DEPT.",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071412",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 SW 13TH AVE",
"address_2": "SUITE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331352479",
"telephone_number": "305-642-6966",
"fax_number": "305-642-6965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUES",
"first_name": "GOTARDO",
"middle_name": "ALENCAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2016-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "FL",
"license": "ME0069345",
"primary": true
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "FL",
"license": "ME69345",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Rodolfo Dumenigo MD PA (Clinical Care Medical Centers)
- Rodolfo Martinez MD PA
- Rodolfo Sidron MD PA
- Nathan Rodricks
- Ana Carolina Rodrigues, BS
- Livia Dahmen Rodrigues, MD
- Luiza A Rodrigues
- Maria-Amelia Rodrigues, M.D.
- Rodrigues, Steinem and Associates Security Planning Inc. (Delia's Home Care)
- Rodriguez & Munoz Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.