Active NPI
Samuel A. Rodriguez Burgos, M.D.
- General Practice Physician
- Orlando, FL
National Provider Identifier
1447386487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1521
- Practice address
- 6210 W Colonial Dr Ste 100
Orlando, FL 32808-7504 - Phone
- (407) 931-0444
- Fax
- (407) 652-5207
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ACN1521 | FL | Primary |
Addresses
Primary practice location
6210 W Colonial Dr Ste 100
Orlando, FL 32808-7504
Mailing address
931 W Oak St Ste 103
Kissimmee, FL 34741-4973
Phone (407) 931-0444
Other practice location 1
931 W Oak St Ste 103
Kissimmee, FL 34741-4973
Phone (407) 931-0444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN1521 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Family Medical Inc | General Practice | Current | Accepting new patients |
| Orlando Family Medical Inc | General Practice | Current | Accepting new patients |
Locations
931 W Oak St
Ste 103
Kissimmee, FL 34741
Phone (407) 922-4839
6210 W Colonial Dr
Ste 100
Orlando, FL 32808
Organizations & group practices 2
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.
-
- General Practice Physician
- Kissimmee, FL
- NPI 1023119641
-
- General Practice Physician
- Orlando, FL
- NPI 1982377578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1447386487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 W OAK ST STE 103",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414973",
"telephone_number": "407-931-0444",
"fax_number": "407-962-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6210 W COLONIAL DR STE 100",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328087504",
"telephone_number": "407-931-0444",
"fax_number": "407-652-5207"
}
],
"practiceLocations": [
{
"address_1": "931 W Oak St Ste 103",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347414973",
"country_code": "US",
"telephone_number": "407-931-0444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ BURGOS",
"first_name": "SAMUEL",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2023-08-14",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN1521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
- Yumisleydi Rodriguez - Valdes, RBT
- Evelyn Rodriguez Arzola, OTR
- Estefania Rodriguez Ballestas, M.D.
- Anaisabel Natasha Rodriguez Barra, RBT
- Fabiola Isabel Rodriguez Bracho
- Arelis Rodriguez Caban, M.D.
- Vasco Alejandro Rodriguez Calzada, DC
- Martha Cristina Rodriguez de Baez, MA
- Joel David Rodriguez de la Torre
- Fatima Rodriguez de Sanchez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.