Individual provider Active NPI

Carlos Vladimir Rodriguez, MD

  • General Practice Physician
  • Hudson, FL
National Provider Identifier
1821741000
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
1634 Issued in FL
Practice address
12582 US Highway 19
Hudson, FL 34667-1952
Phone
(727) 516-8806
NPI assigned
Jan 28, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 1634 FL Primary

Addresses

Primary practice location

12582 US Highway 19
Hudson, FL 34667-1952

Mailing address

5511 Avenue Du Soleil
Lutz, FL 33558-2835
Phone (813) 863-5684

Other practice location 1

4340 W Hillsborough Ave Ste 210
Tampa, FL 33614-5522
Phone (813) 734-7362

Other practice location 2

1281 S Tamiami Trl Unit 2
Sarasota, FL 34239-2218
Phone (941) 960-8741

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carlos.rodriguez.2@29601.direct.athenahealth.com

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
I20240927001133 FL Order and Referring Only - General PracticePractitioner - General Practice 1456882703

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1634FLMDGeneral Practice Physician

Interoperability endpoints

  • Direct secure messaging: carlosvladimir.rodriguez.p1@direct.mbmg.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1821741000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 AVENUE DU SOLEIL",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335582835",
            "telephone_number": "813-863-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12582 US HIGHWAY 19",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671952",
            "telephone_number": "727-516-8806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4340 W Hillsborough Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336145522",
            "country_code": "US",
            "telephone_number": "813-734-7362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1281 S Tamiami Trl Unit 2",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342392218",
            "country_code": "US",
            "telephone_number": "941-960-8741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CARLOS",
        "middle_name": "VLADIMIR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-28",
        "last_updated": "2026-08-16",
        "certification_date": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "1634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carlos.rodriguez.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "12582 US Highway 19",
            "city": "Hudson",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346671952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.