Active NPI
Marta E Rodriguez, M.D.
- Pediatrics Physician
- Kissimmee, FL
National Provider Identifier
1649267428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME74216
- Practice address
- 801 W Oak St Ste 101
Kissimmee, FL 34741-6605 - Phone
- (407) 846-3455
- Fax
- (407) 846-3670
- NPI assigned
- Oct 5, 2005
- Last updated
- Sep 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME74216 | FL | Primary |
Addresses
Primary practice location
801 W Oak St Ste 101
Kissimmee, FL 34741-6605
Mailing address
801 W Oak St
Suite 101
Kissimmee, FL 34741-6614
Phone (407) 846-3455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257147100 | Medicaid | FL |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME74216 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrics of Central Florida P.a. | Pediatrics | Past | Accepting new patients |
| Pediatrics of Central Florida P.a. | Pediatrics | Past | Accepting new patients |
| Pediatrics of Central Florida P.a. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Kissimmee, FL
- NPI 1114695368
-
- Pediatrics Physician
- Orlando, FL
- NPI 1629746870
-
- Pediatrics Physician
- Kissimmee, FL
- NPI 1720041049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568764800000",
"number": "1649267428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 W OAK ST",
"address_2": "SUITE 101",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347416614",
"telephone_number": "407-846-3455",
"fax_number": "407-846-7381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W OAK ST STE 101",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347416605",
"telephone_number": "407-846-3455",
"fax_number": "407-846-3670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MARTA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-05",
"last_updated": "2019-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME74216",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257147100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.