Alexander Rodriguez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN534 Issued in FL

Practice address

106 Park Place Blvd Ste C
Davenport, FL 33837-6868

Phone

(863) 588-4775

Fax

(863) 422-7664

NPI assigned

Apr 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

San Juan Bautista School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Soni Family Practice PLLCGroup PAC ID 8224274840, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: alexander.rodriguez.1@6807.direct.athenahealth.com

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.

• Soni Family Practice, PLLC

  • Family Medicine Physician
  • Davenport, FL
  • NPI 1083957583
  Medicare reassignment Care Compare group NPD
• SFP PC Holdings, Inc.

  • Multi-Specialty Clinic/Center
  • Davenport, FL
  • NPI 1225923667
  NPD
• Idelis Fedeslinda Arias de la Torre

  • General Practice Physician
  • Seffner, FL
  • NPI 1639747595
  NPD (past)
• Orlando Family Physicians, LLC

  • General Practice Physician
  • Orlando, FL
  • NPI 1912579673
  NPD (past)
• Suncoast Premier Medical LLC

  • Internal Medicine Physician
  • Davenport, FL
  • NPI 1427206739
  NPD (past)

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

• Adventhealth Polk North Inc

  • General Acute Care Hospital
  • Davenport, FL
  • NPI 1801457510
  Care Compare affiliation

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1548480825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 878",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338360878",
            "telephone_number": "689-223-3898",
            "fax_number": "689-223-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PARK PLACE BLVD STE C",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376868",
            "telephone_number": "863-588-4775",
            "fax_number": "863-422-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16424",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE FLORIDA",
            "identifier": "ACN534",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR MEDICAL LICENSE",
            "identifier": "16424",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rock Medical Supply, Inc.
• Ross Mathew Roden, M.P.T.
• Silvia Rodrigues
• Genesis Marie Rodriguez Contreras, APRN, FNP
• Aida D Rodriguez, RBT
• Breeann Michelle Rodriguez, LCSW
• Jorge David Rodriguez, MD
• Karen Jocilyn Rodriguez, LMFT
• Liliana Rodriguez
• Maria Ann Rodriguez, PTA

• General Practice Physician in Davenport, FL
• Providers in Davenport, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.