Ismael Rodriguez M D P a

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

ME72759 Issued in PR

Legal business name

ISMAEL RODRIGUEZ M D P A

Practice address

2001 Kingsley Ave
Orange Park, FL 32073-5148

Phone

(904) 276-8500

NPI assigned

Jul 25, 2007

Last updated

May 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ismael Rodriguez, M D P ANPI 1316938715

Title

President

Phone

(904) 276-6977

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ismael Rodriguez, M.D.

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1316938715
  Authorized official Same address or phone

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1609066778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1779",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320671779",
            "telephone_number": "904-276-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735148",
            "telephone_number": "904-276-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISMAEL RODRIGUEZ M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ISMAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-276-6977",
        "authorized_official_credential": "M D P A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PR",
            "license": "ME72759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270550800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Jocelyn Isaacson, RPH
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• Omer Ismaeel, MD
• Silver Isom
• J D Ruggiero MD PLLC
• J Nicholas Prewett PHD & Associates PA
• J-Nissi's Therapy & Counseling LLC
• J. L. Towns D C P a

• General Acute Care Hospital in Orange Park, FL
• Providers in Orange Park, FL by specialty
• General Acute Care Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.