NPIMap

Individual provider Active NPI

Mario Rene Perez-Rodriguez, M.D.

  • Internal Medicine Physician
  • Clermont, FL
National Provider Identifier
1528052420
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME72969 Issued in FL
Practice address
1714 US Highway 27 Ste 15
Clermont, FL 34714-6211
Phone
(352) 243-3555
Fax
(352) 243-6614
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME72969 FL Primary

Addresses

Primary practice location

1714 US Highway 27 Ste 15
Clermont, FL 34714-6211

Mailing address

PO Box 470459
Celebration, FL 34747-0459
Phone (352) 243-3555

Other identifiers 4

IdentifierTypeStateIssuer
277533600MedicaidFL
47211OtherFLBCBS
600001577OtherFLTAX ID
K2472AOtherFLMEDICARE GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031215000323 FL Practitioner - Internal Medicine 7911804471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ponce School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
FCHR PAGroup PAC ID 9638121684, 19 clinicians

Practice addresses (Care Compare)

1239 US Hwy 27
Clermont, FL 34714-8910
Phone (352) 243-6614

627 8TH St
Clermont, FL 34711-2159
Phone (352) 243-4472

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Winter Haven, FL, CCN 107007
  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME72969FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manasota Medical Group LLC Internal Medicine PastSince Oct 1, 2008 Accepting new patients
Leeland ER SVCS Partnership LLC Past Accepting new patients
House of Freedom Past Accepting new patients
Ambulatory Care Physicians of Sarasota LLC Past Accepting new patients
Suncoast Medical Central Florida LLC Internal Medicine PastSince Dec 14, 2025 Accepting new patients

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1528052420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470459",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347470459",
            "telephone_number": "352-243-3555",
            "fax_number": "352-243-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 US HIGHWAY 27 STE 15",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146211",
            "telephone_number": "352-243-3555",
            "fax_number": "352-243-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-RODRIGUEZ",
        "first_name": "MARIO",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME72969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277533600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "47211",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "600001577",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "K2472A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.