NPIMap

Organization Active NPI

Eugenio Rodriguez MD PA

  • Surgery Physician
  • Delray Beach, FL
National Provider Identifier
1699080341
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME61779 Issued in FL
Legal business name
EUGENIO RODRIGUEZ MD PA
Practice address
5130 Linton Blvd
Suite E2
Delray Beach, FL 33484-6596
Phone
(561) 330-4695
NPI assigned
Aug 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Dr. Eugenio Rodriguez, MDNPI 1508921172
Title
President
Phone
(561) 330-4695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X ME61779 FL Primary

Addresses

Primary practice location

5130 Linton Blvd
Suite E2
Delray Beach, FL 33484-6596

Mailing address

PO Box 9616
Coral Springs, FL 33075-9616
Phone (954) 752-3257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110324000235 FL Part B Supplier - Clinic/Group Practice 4981887296 Receives reassigned benefits from 14 practitioners
Practice locations: West Palm Beach, FL; Riviera Beach, FL; Boca Raton, FL; Palm Springs, FL; Lake Worth, FL; Delray Beach, FL; Boynton Beach, FL; Deerfield Beach, FL

National Provider Directory

National Provider Directory

Locations

250 SW Natura Ave
Deerfield Beach, FL 33441
Phone (954) 418-7063

5258 Linton Blvd
Ste 301
Delray Beach, FL 33484
Phone (561) 819-5447

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1699080341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9616",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330759616",
            "telephone_number": "954-752-3257",
            "fax_number": "954-369-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 LINTON BLVD",
            "address_2": "SUITE E2",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846596",
            "telephone_number": "561-330-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENIO RODRIGUEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "EUGENIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-330-4695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME61779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.