Individual provider Active NPI

Isabel Rodriguez, MD

  • General Practice Physician
  • Gainesville, FL
National Provider Identifier
1780780841
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN441 Issued in FL
Practice address
3600 NW 43Rd St Ste D2
Gainesville, FL 32606-8127
Phone
(352) 872-5755
Fax
(352) 872-5102
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16599 PR
General Practice Physician 208D00000X ACN441 FL Primary

Addresses

Primary practice location

3600 NW 43Rd St Ste D2
Gainesville, FL 32606-8127

Mailing address

3600 NW 43Rd St Ste D2
Gainesville, FL 32606-8127
Phone (352) 872-5755

Other identifiers 1

IdentifierTypeStateIssuer
008968700MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130718000409 FL Practitioner - General Practice 5496996308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Med Family Care PLLCGroup PAC ID 7113142795, 3 clinicians

Practice addresses (Care Compare)

3600 NW 43Rd St
Suite A1
Gainesville, FL 32606-8138
Phone (352) 872-5755

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16599PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Med Family Care PLLC CurrentSince Apr 28, 2014 Accepting new patients

Locations

3600 NW 43rd St
Ste D2
Gainesville, FL 32606
Phone (352) 225-3650

3600 NW 43rd St
Ste A1
Gainesville, FL 32606
Phone (352) 336-1433

Organizations & group practices 1

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.

Hospital & facility affiliations 8

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1780780841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 NW 43RD ST STE D2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326068127",
            "telephone_number": "352-872-5755",
            "fax_number": "352-872-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 NW 43RD ST STE D2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326068127",
            "telephone_number": "352-872-5755",
            "fax_number": "352-872-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ISABEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16599",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008968700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.