Active NPI
Marina F Rodriguez, MD
- Internal Medicine Physician
- Riverside, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD05820
- Practice address
- 375 Wampanoag TRL
Suite 201
Riverside, RI 02915-2212 - Phone
- (401) 649-4020
- Fax
- (401) 649-4021
- NPI assigned
- Jul 8, 2005
- Last updated
- Jun 13, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD05820 | RI | Primary |
Addresses
Primary practice location
375 Wampanoag TRL
Suite 201
Riverside, RI 02915-2212
Mailing address
17 Virginia Ave
Suite 107
Providence, RI 02905-4406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD05820 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Miriam Hospital | Current | Accepting new patients | |
| Richard J. Ruggieri, MD, Inc. | Internal Medicine | Current | Accepting new patients |
| The Miriam Hospital | Current | Accepting new patients | |
| Brown Medicine | Internal Medicine | Current | Accepting new patients |
| Brown Medicine | Current | Accepting new patients | |
| Morton Physician Associates Inc | Internal Medicine | Past | Accepting new patients |
Locations
160 Wayland Ave
Providence, RI 02906
Phone (401) 521-1221
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
164 Summit Ave
Ste C
Providence, RI 02906
Phone (401) 793-2931
17 Virginia Ave
Ste 107
Providence, RI 02905
Phone (401) 784-4923
593 Eddy St
Providence, RI 02903
375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010
375 Wampanoag Trl
Ste 201
Riverside, RI 02915
Phone (401) 649-4020
Organizations & group practices 6
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.
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Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465776000000",
"number": "1417955071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 VIRGINIA AVE",
"address_2": "SUITE 107",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 WAMPANOAG TRL",
"address_2": "SUITE 201",
"city": "RIVERSIDE",
"state": "RI",
"postal_code": "029152212",
"telephone_number": "401-649-4020",
"fax_number": "401-649-4021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MARINA",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-08",
"last_updated": "2016-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD05820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, RI
- Riverside Family Dental, LLC
- Riverside House Apartments
- Riverside Smiles Theodore I Goldberg, DMD PC & Associates (Riverside Smiles)
- Kimberly Rodrigues, LICSW
- Sara Rodrigues, M.S.W.
- Pamela Kay Rodriguez, MSN, FNP-BC, CNP
- Raysa A Rodriguez
- Donna Marie Rondeau-Marzullo, NP
- Stephanie Ross, PHD
- Susan Beth Rotsky, ATC, LAT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.