Sandra L. Rodriguez Davila, MD

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

103326 Issued in FL

Practice address

10948 N 56TH St
Suite 200
Temple Terrace, FL 33617-3007

Phone

(813) 284-6993

Fax

(813) 374-9603

NPI assigned

Jul 8, 2008

Last updated

Sep 15, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

Opted out of Medicare

Yes, effective Jan 1, 2022 through Jan 1, 2028

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1437312519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10948 N 56TH ST",
            "address_2": "SUITE 200",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336173007",
            "telephone_number": "813-284-6993",
            "fax_number": "813-374-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10948 N 56TH ST",
            "address_2": "SUITE 200",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336173007",
            "telephone_number": "813-284-6993",
            "fax_number": "813-374-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ DAVILA",
        "first_name": "SANDRA",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "103326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010895800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dustin Robbins, M.A.
• Jennifer Roberts, DPM
• Sally Ann Robertson, ARNP, NP-C
• Alay Robles Aldana, NURSE PRACTITIONER
• Thomas Rodenhouse
• Roynel Rodriguez Martinez, APRN
• Odarkys Rodriguez Rodriguez, APRN
• Horacio Rodriguez-Jimenez, MD
• Ana I Rodriguez
• Danyelle Lauyren Rodriguez

• Geriatric Psychiatry Physician in Temple Terrace, FL
• Providers in Temple Terrace, FL by specialty
• Geriatric Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.