Individual provider Active NPI

Carmen Rodriguez, M.D

  • Internal Medicine Physician
  • Maitland, FL
National Provider Identifier
1427384403
Registry record updated Jul 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME114929 Issued in FL
Practice address
900 Winderley PL
Suite 1400
Maitland, FL 32751-7267
Phone
(407) 200-2700
NPI assigned
Oct 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10034479 TX
Internal Medicine Physician 207R00000X ME114929 FL Primary

Addresses

Primary practice location

900 Winderley PL
Suite 1400
Maitland, FL 32751-7267

Mailing address

900 Winderley PL
Suite 1400
Maitland, FL 32751-7267
Phone (407) 200-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130917000303 FL Practitioner - Internal Medicine 2264688225 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10034479TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Aug 1, 2013 Accepting new patients
Longevity Health of Winter Park, LLC Internal Medicine Current Accepting new patients
Florida Hospital Medical Group Inc Internal Medicine CurrentSince Aug 1, 2013 Accepting new patients
The Nemours Foundation Past Accepting new patients

Locations

755 Rinehart Rd
Lake Mary, FL 32746
Phone (407) 320-8100

755 Rinehart Rd
Ste 100
Lake Mary, FL 32746
Phone (407) 320-8100

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

900 Winderley Pl
Ste 1400
Maitland, FL 32751
Phone (407) 200-2700

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374969600000",
    "number": "1427384403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WINDERLEY PL",
            "address_2": "SUITE 1400",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517267",
            "telephone_number": "407-200-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WINDERLEY PL",
            "address_2": "SUITE 1400",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517267",
            "telephone_number": "407-200-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CARMEN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-26",
        "last_updated": "2013-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10034479",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME114929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.