Rafael K Rodriguez, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

0442000095 Issued in FL

Practice address

1928 Commerce LN
Suite #6
Jupiter, FL 33458-5598

Phone

(561) 575-2868

NPI assigned

Aug 23, 2010

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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1811203243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 COMMERCE LN",
            "address_2": "SUITE #6",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585598",
            "telephone_number": "561-575-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 COMMERCE LN",
            "address_2": "SUITE #6",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585598",
            "telephone_number": "561-575-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RAFAEL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-23",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "0442000095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley J Rodic, CRNA
• Amanda Rachel Rodman, DDS
• Clara Rodriguez, PT
• Janette Rodriguez, PSY.D.
• Julio Rodriguez, MD
• Gina Marie Rogean, APRN
• Caitlin Roggin
• Kaitlyn Anne Romano, APRN / AGACNP-BC
• Lauren Romero, M.ED, LMHC
• Rooted in Lifestyle, L.L.C.

• Periodontics in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.