Jorge David Rodriguez, MD

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

Practice address

1467 Fox Squirrel Dr
Davenport, FL 33897-9547

Phone

(863) 326-8128

NPI assigned

Feb 14, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1649977141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 FOX SQUIRREL DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338979547",
            "telephone_number": "863-326-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 FOX SQUIRREL DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338979547",
            "telephone_number": "863-326-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JORGE",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silvia Rodrigues
• Genesis Marie Rodriguez Contreras, APRN, FNP
• Aida D Rodriguez, RBT
• Alexander Rodriguez, M.D.
• Breeann Michelle Rodriguez, LCSW
• Karen Jocilyn Rodriguez, LMFT
• Liliana Rodriguez
• Maria Ann Rodriguez, PTA
• Rosmery Rodriguez, RMHCI
• Stephanie Irma Rodriguez

• Rehabilitation Psychologist in Davenport, FL
• Providers in Davenport, FL by specialty
• Rehabilitation Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.