NPIMap

Individual provider Active NPI

Jorge Eduardo Rodriguez, M.D.

  • General Practice Physician
  • Saint Cloud, FL
National Provider Identifier
1689111411
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1548 Issued in FL
Practice address
3505 Progress LN
Saint Cloud, FL 34769-6519
Phone
(407) 569-1260
Fax
(833) 963-0109
NPI assigned
Jan 31, 2017
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1548 FL Primary

Addresses

Primary practice location

3505 Progress LN
Saint Cloud, FL 34769-6519

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jorge.rodriguez.1@29601.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190830000165 PR Practitioner - General Practice 2264760123 Reassigns benefits to 2 organizations
I20230802002263 FL Practitioner - General Practice 2264760123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3505 Progress LN
Saint Cloud, FL 34769-6519
Phone (855) 226-6633

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc CurrentSince Aug 1, 2021 Accepting new patients
Mennonite General Hospital Inc. CurrentSince Aug 1, 2021 Accepting new patients
Hospital Menonita de Cayey General Practice CurrentSince Jul 8, 2019 Accepting new patients
Centerwell Senior Primary Care FL Inc General Practice Current Accepting new patients
Hospital Menonita de Cayey CurrentSince Jul 8, 2019 Accepting new patients
Centerwell Senior Primary Care (FL) Inc. General Practice CurrentSince Aug 1, 2025 Accepting new patients
Centerwell Senior Primary Care (FL) Inc. General Practice CurrentSince Aug 1, 2025 Accepting new patients
Mennonite General Hospital Inc Current Accepting new patients
Internal Medicine Health Services PSC Past Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Past Accepting new patients

Locations

1050 Cypress Pkwy
Kissimmee, FL 34759
Phone (407) 483-1400

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

3505 Progress Ln
Saint Cloud, FL 34769
Phone (407) 348-5175

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jorge.rodriguez.1@29601.direct.athenahealth.com

Organizations & group practices 10

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 3

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": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1689111411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 PROGRESS LN",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696519",
            "telephone_number": "407-569-1260",
            "fax_number": "833-963-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JORGE",
        "middle_name": "EDUARDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-31",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jorge.rodriguez.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3505 Progress Ln",
            "city": "Saint Cloud",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347696519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.