Cres a Rodriguez MD PA

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

ME51442 Issued in FL

Legal business name

CRES A RODRIGUEZ MD PA

Doing business as

Adult & Geriatric Medical Care, P.A.

Practice address

7001 N Dale Mabry Hwy
Suite 11
Tampa, FL 33614-3910

Phone

(813) 915-5555

Fax

(813) 931-7508

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Cres Antonio Rodriguez, M.D.

Title

President

Phone

(813) 915-5555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adult & Geriatric Medical Care, P.A. Doing business as

Locations

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1720010283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 N DALE MABRY HWY",
            "address_2": "SUITE 11",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143910",
            "telephone_number": "813-915-5555",
            "fax_number": "813-931-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 N DALE MABRY HWY",
            "address_2": "SUITE 11",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143910",
            "telephone_number": "813-915-5555",
            "fax_number": "813-931-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRES A RODRIGUEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CRES",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-915-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME51442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047016300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult & Geriatric Medical Care, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wen-Yi Creighton, PHARMD
• Ian Cremisio, MSW
• Sara Marie Crenshaw
• Tykeylia Aujinae Crenshaw
• Gianna Creola
• Robert M Crescentini II, M.D.
• Ariana Nicole Crescitelli
• Jennifer Crescitelli
• Crespo & Associates, PA
• Crespo & Associates, PA

• Geriatric Medicine (Internal Medicine) Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.