Organization Active NPI

Angela M Rodriguez MD PA

  • Family Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1649572512
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ANGELA M RODRIGUEZ MD PA
Practice address
2600 NE 9TH St
Ft Lauderdale, FL 33304-3610
Phone
(954) 565-7779
Fax
(954) 565-6889
NPI assigned
Nov 29, 2010
Last updated
Nov 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Authorized official

Name
Angela M Rodriguez, MD
Title
President
Phone
(954) 565-7779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2600 NE 9TH St
Ft Lauderdale, FL 33304-3610

Mailing address

PO Box 11892
Ft Lauderdale, FL 33339-1892
Phone (954) 565-7779

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1649572512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11892",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333391892",
            "telephone_number": "954-565-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 NE 9TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043610",
            "telephone_number": "954-565-7779",
            "fax_number": "954-565-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA M RODRIGUEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-565-7779",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.