Organization Active NPI

Doctor at My Door, LLC

  • Internal Medicine Physician
  • Sunny Isl BCH, FL
National Provider Identifier
1891568499
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DOCTOR AT MY DOOR, LLC
Practice address
17475 Collins Ave Unit 2401
Sunny Isl BCH, FL 33160-4686
Phone
(786) 417-2722
NPI assigned
Nov 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Mr. David R Rodriguez
Title
President
Phone
(786) 417-2722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

17475 Collins Ave Unit 2401
Sunny Isl BCH, FL 33160-4686

Mailing address

17475 Collins Ave Unit 2401
Sunny Isl BCH, FL 33160-4686
Phone (786) 417-2722

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1891568499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17475 COLLINS AVE UNIT 2401",
            "city": "SUNNY ISL BCH",
            "state": "FL",
            "postal_code": "331604686",
            "telephone_number": "786-417-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17475 COLLINS AVE UNIT 2401",
            "city": "SUNNY ISL BCH",
            "state": "FL",
            "postal_code": "331604686",
            "telephone_number": "786-417-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR AT MY DOOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-05",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-417-2722",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isl BCH, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.