Ronald Franciso Rodriquez

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT23005 Issued in FL

Practice address

115 E Burleigh Blvd
Tavares, FL 32778-2401

Phone

(352) 253-9100

Fax

(352) 253-0126

NPI assigned

Aug 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advanced Physical Therapy of Lake County, Inc.

  • Physical Therapy Clinic/Center
  • Mount Dora, FL
  • NPI 1427173640
  NPD (past)

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186272000000",
    "number": "1497946560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E BURLEIGH BLVD",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327782401",
            "telephone_number": "352-253-9100",
            "fax_number": "352-253-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E BURLEIGH BLVD",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327782401",
            "telephone_number": "352-253-9100",
            "fax_number": "352-253-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIQUEZ",
        "first_name": "RONALD",
        "middle_name": "FRANCISO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PT23005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mason Keith Roach
• Terrance Roberson
• Robert W Ladley D.M.D. PA
• Jodi Robison, MS, RD, LD/N
• Amanda Marina Rodriguez
• Mamie Mesie Rogers, M.D.
• Dakota Roll
• Rudolph N Rolle
• Karina Maria Romero, BCBA
• Ronald Roth MD PA

• Physical Medicine & Rehabilitation Physician in Tavares, FL
• Providers in Tavares, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.