Edgardo Rodriguez-Falche, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

265760 Issued in MA

Practice address

8803 Vistana Centre Dr
Orlando, FL 32821-6354

Phone

(413) 349-5033

Fax

(413) 363-9123

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Innovative Physician Services LLC

  • Physical Medicine & Rehabilitation Physician
  • Springfield, MA
  • NPI 1922096049

  FL, Multi-Specialty

  Medicare reassignment NPD
• Innovative Physician Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MA
  • NPI 1366269649
  NPD
• Dr. Jorge R. Matta Gonzalez CSP

  • Adolescent and Children Mental Health Clinic/Center
  • NPI 1932516465
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1396954889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LIBERTY ST",
            "address_2": "STE 100",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031109",
            "telephone_number": "787-647-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8803 VISTANA CENTRE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328216354",
            "telephone_number": "413-349-5033",
            "fax_number": "413-363-9123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 Page Blvd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011043026",
            "country_code": "US",
            "telephone_number": "413-349-5033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 LIBERTY ST",
            "address_2": "STE 100",
            "address_purpose": "LOCATION",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031109",
            "country_code": "US",
            "telephone_number": "787-647-4737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ-FALCHE",
        "first_name": "EDGARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "15844",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "265760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yesika Rodriguez Valdes
• Liz Rodriguez Velez
• Alberto Manuel Rodriguez-Colon, PHARMD
• Ramon Luis Rodriguez-Cruz, MD
• Elinet Rodriguez-Diaz
• Annette Rodriguez-Jones, LMT
• Enil Rodriguez-Lopez, MSW
• Eduardo J Rodriguez-Perez, M.D.
• Melissa Lee Rodriguez-Rivera
• Juan Rodriguez-Rodriguez, M.D.

• Psychiatry Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.