Jaime Alberto Rodriguez, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME96838 Issued in FL

Practice address

406B Palmetto St
New Smyrna Beach, FL 32168-7323

Phone

(386) 427-6791

Fax

(386) 427-8028

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407967433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2134 VILLA WAY",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321692069",
            "telephone_number": "386-427-6791",
            "fax_number": "386-427-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406B PALMETTO ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687323",
            "telephone_number": "386-427-6791",
            "fax_number": "386-427-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JAIME",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME96838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1485608",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea J Robins, L.M.T.
• Hugh Robinson III, PTA
• Mia Belle Robles
• Macayla Rodgers
• Delaney Rodriguez, FNP
• Luke Rodriguez
• Jennifer Rogers
• Jason Roland, PTA
• Courtney Lee Rollo, MOT
• Mandolyn Breeze Rorem, BCBA

• Surgery Physician in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.