Individual provider Active NPI

Diego Florentin Rodriguez, M.D.

  • Internal Medicine Physician
  • Palm Bay, FL
National Provider Identifier
1629366380
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME129433 Issued in FL
Practice address
5205 Babcock St NE Ste 3
Palm Bay, FL 32905-4638
Phone
(321) 729-1400
Fax
(321) 728-5700
NPI assigned
Jul 15, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD2013-0831 NM
Internal Medicine Physician 207R00000X 4301098613 MI
Internal Medicine Physician 207R00000X ME129433 FL Primary

Addresses

Primary practice location

5205 Babcock St NE Ste 3
Palm Bay, FL 32905-4638

Mailing address

5205 Babcock St NE Ste 3
Palm Bay, FL 32905-4638
Phone (321) 729-1400

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170807001829 FL Practitioner - Internal Medicine 6204057144 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

601 E Altamonte Dr
Altamonte SPG, FL 32701-4802
Phone (407) 303-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME129433FLMDInternal Medicine Physician
4301098613MIMDInternal Medicine Physician
MD2013-0831NMMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mel-Bay Health Care Inc Internal Medicine CurrentSince May 24, 2017 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Aug 1, 2018 Accepting new patients

Locations

601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200

950 S Apollo Blvd
Melbourne, FL 32901
Phone (321) 473-8400

5205 Babcock St NE
Ste 3
Palm Bay, FL 32905
Phone (321) 458-0853

Interoperability endpoints

  • Direct secure messaging: dflorentin@yourcarecommunity.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/CJGBDA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629366380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 BABCOCK ST NE STE 3",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054638",
            "telephone_number": "321-729-1400",
            "fax_number": "321-728-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 BABCOCK ST NE STE 3",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054638",
            "telephone_number": "321-729-1400",
            "fax_number": "321-728-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORENTIN RODRIGUEZ",
        "first_name": "DIEGO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2013-0831",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301098613",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME129433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.