Active NPI
Luis Rodriguez-Riera, DMD
- Dentist
- Fort Myers, FL
National Provider Identifier
1487028973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN21544
- Practice address
- 11100 Summer Ridge Lane
Fort Myers, FL 33908-4064 - Phone
- (239) 344-2389
- NPI assigned
- Nov 20, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN21544 | FL | Primary |
Addresses
Primary practice location
11100 Summer Ridge Lane
Fort Myers, FL 33908-4064
Mailing address
PO Box 919771
Orlando, FL 32891-9771
Phone (239) 278-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016887000 | Medicaid | FL |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160331000061 | FL | Order and Referring Only - Dentist | 6901103225 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN21544 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1487028973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 919771",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328919771",
"telephone_number": "239-278-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 SUMMER RIDGE LANE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339084064",
"telephone_number": "239-344-2389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ-RIERA",
"first_name": "LUIS",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-20",
"last_updated": "2021-09-08",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN21544",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016887000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
- Kenia Rodriguez Rodriguez
- Oscar Hernan Rodriguez Siguenas, MD
- Jhesenia Rodriguez Victoria, DO
- Aime Rodriguez-Arias
- Claudia M Rodriguez-Arredondo, M.D.
- Olga Maria Rodriguez-Rivera, B.A.
- Yasaira Rodriguez-Torres, MD
- Amanda Barbara Rodriguez, APRN
- Ana Alejandrina Rodriguez, BEHAVIOR TECHNICIAN
- Angelina Rose Rodriguez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.