Virginio Rodriguez

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME566488 Issued in FL

Practice address

345 Clyde Morris Blvd
Suite 360
Ormond Beach, FL 32174-3114

Phone

(386) 677-8880

Fax

(386) 677-9880

NPI assigned

Sep 7, 2006

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

Other identifiers 1

Other names 1

• V Rodriguez III Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: vrpediatrics.virginiorodriguez@133732.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healing Hands Family Care

  • Family Nurse Practitioner
  • Port Orange, FL
  • NPI 1184345803
  NPD

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1720181357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 CLYDE MORRIS BLVD",
            "address_2": "SUITE 360",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743114",
            "telephone_number": "386-677-8880",
            "fax_number": "386-677-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 CLYDE MORRIS BLVD",
            "address_2": "SUITE 360",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743114",
            "telephone_number": "386-677-8880",
            "fax_number": "386-677-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "VIRGINIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME566488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256164600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "V",
            "last_name": "RODRIGUEZ",
            "suffix": "III",
            "credential": "MD PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kenneth M. Roberts, P.A.
• Joni M. Robertson, PT
• Karen Roche, PA-C
• Marisol Rodriguez, AUD
• Michael J Rodriguez, D.C.
• Maria Rogers
• Maura Rohan
• Sylvia Camille Rohmer, LMHC
• Shannon Nacole Rohr, MA
• Ronald W Sherman DO

• Pediatrics Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.