Active NPI
Mildred Desiree Garcia Rodriguez, MD
- Gastroenterology Physician
- Tampa, FL
National Provider Identifier
1528295235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME137331
- Practice address
- 10740 Palm River Rd Ste 360
Tampa, FL 33619 - Phone
- (813) 660-6400
- Fax
- (813) 660-6699
- NPI assigned
- Jun 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A136938 | CA | |
| Gastroenterology Physician | 207RG0100X | ME137331 | FL | Primary |
Addresses
Primary practice location
10740 Palm River Rd Ste 360
Tampa, FL 33619
Mailing address
PO Box 1289
Tampa, FL 33601-1289
Phone (813) 660-6400
Other practice location 1
300 Pasteur Dr # Mc550
Stanford, CA 94305-2200
Phone (650) 736-5555
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 |
|---|---|---|---|
| 136938 | CA | MD | Marriage & Family Therapist |
| A136938 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanford Health Care | Past | Accepting new patients |
Organizations & group practices 1
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 Acute Care Hospital
- Stanford, CA
- NPI 1437292927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1528295235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1289",
"city": "TAMPA",
"state": "FL",
"postal_code": "336011289",
"telephone_number": "813-660-6400",
"fax_number": "813-660-6699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10740 PALM RIVER RD STE 360",
"city": "TAMPA",
"state": "FL",
"postal_code": "33619",
"telephone_number": "813-660-6400",
"fax_number": "813-660-6699"
}
],
"practiceLocations": [
{
"address_1": "300 Pasteur Dr # Mc550",
"address_purpose": "LOCATION",
"city": "Stanford",
"state": "CA",
"postal_code": "943052200",
"country_code": "US",
"telephone_number": "650-736-5555",
"fax_number": "650-498-6323",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA RODRIGUEZ",
"first_name": "MILDRED",
"middle_name": "DESIREE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-19",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A136938",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME137331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.