Organization Active NPI

Martha M Rodriguez MD PA

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1396841235
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME63688 Issued in FL
Legal business name
MARTHA M RODRIGUEZ MD PA
Practice address
2015 Ocean Dr
Ste 11
Boynton Beach, FL 33426-5131
Phone
(561) 364-8056
Fax
(561) 364-8507
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Martha Mercedes Rodriguez, M.D.
Title
Owner
Phone
(561) 364-8056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME63688 FL Primary

Addresses

Primary practice location

2015 Ocean Dr
Ste 11
Boynton Beach, FL 33426-5131

Mailing address

2015 Ocean Dr
Ste 11
Boynton Beach, FL 33426-5131
Phone (561) 364-8056

Other names 1

  • MARTHA M RODRIGUEZ MD PA Doing business as

National Provider Directory

National Provider Directory

Locations

2015 Ocean Dr
Boynton Beach, FL 33426

2100 E Hallandale Beach Blvd
Ste 307
Hallandale Beach, FL 33009
Phone (954) 454-7400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1396841235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 OCEAN DR",
            "address_2": "STE 11",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334265131",
            "telephone_number": "561-364-8056",
            "fax_number": "561-364-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 OCEAN DR",
            "address_2": "STE 11",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334265131",
            "telephone_number": "561-364-8056",
            "fax_number": "561-364-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA M RODRIGUEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "MERCEDES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-364-8056",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME63688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARTHA M RODRIGUEZ MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.