Dagoberto Jesus Rodriguez, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME058463 Issued in FL

Practice address

2825 N State Road 7
Suite 305
Margate, FL 33063-5737

Phone

(954) 752-8799

Fax

(954) 752-0509

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. D. J. Rodriguez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1629181326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 N STATE ROAD 7",
            "address_2": "SUITE 305",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635737",
            "telephone_number": "954-752-8799",
            "fax_number": "954-752-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 N STATE ROAD 7",
            "address_2": "SUITE 305",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635737",
            "telephone_number": "954-752-8799",
            "fax_number": "954-752-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DAGOBERTO",
        "middle_name": "JESUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME058463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC# ME-58463",
            "identifier": "ME-58463",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265743100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "D.",
            "last_name": "RODRIGUEZ",
            "middle_name": "J.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Peter Robbins, L.M.T.
• Bradley Roberts, DDS
• Lauren Robertson, ARNP
• Angeline Rodriguez
• Aymara Rodriguez
• Francisco Ramon Rodriguez, MD
• Kristen Rodriguez, CRNA
• Marcela Rodriguez
• Marissa M Rodriguez, NP
• Rafael Rodriguez, M.D

• Pediatrics Physician in Margate, FL
• Providers in Margate, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.