Active NPI
Alexander R. H. Rodriguez, M.D.
- Child & Adolescent Psychiatry Physician
- Tampa, FL
National Provider Identifier
1700052099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- ME 32221
- Practice address
- 3507 Bayshore Blvd
# 403
Tampa, FL 33629-8969 - Phone
- (813) 865-5082
- Fax
- (813) 283-3091
- NPI assigned
- May 6, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME 32221 | FL | Primary |
Addresses
Primary practice location
3507 Bayshore Blvd
# 403
Tampa, FL 33629-8969
Mailing address
3507 Bayshore Blvd
# 403
Tampa, FL 33629-8969
Phone (813) 865-5082
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 |
|---|---|---|---|
| ME 32221 | FL | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1700052099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3507 BAYSHORE BLVD",
"address_2": "# 403",
"city": "TAMPA",
"state": "FL",
"postal_code": "336298969",
"telephone_number": "813-865-5082",
"fax_number": "813-283-3091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3507 BAYSHORE BLVD",
"address_2": "# 403",
"city": "TAMPA",
"state": "FL",
"postal_code": "336298969",
"telephone_number": "813-865-5082",
"fax_number": "813-283-3091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ALEXANDER",
"middle_name": "R. H.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-06",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "ME 32221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.