Individual provider Active NPI

Mariel Diplan Rodriguez, MD

  • Internal Medicine Physician
  • Galveston, TX
National Provider Identifier
1902077241
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q0245 Issued in TX
Practice address
3828 Avenue N
Galveston, TX 77550-6614
Phone
(409) 761-3200
Fax
(409) 761-3209
NPI assigned
Mar 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Q0245 TX Primary

Addresses

Primary practice location

3828 Avenue N
Galveston, TX 77550-6614

Mailing address

3828 Avenue N
Galveston, TX 77550-6693
Phone (409) 761-3200

Other practice location 1

15 Lilac Dr Apt 2
Rochester, NY 14620-3250
Phone (407) 625-6846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130326000332 FL Order and Referring Only - Infectious DiseasePractitioner - Infectious Disease 7618165895
I20160229000992 TX Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7618165895

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1902077241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 AVENUE N",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775506693",
            "telephone_number": "409-761-3200",
            "fax_number": "409-761-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 AVENUE N",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775506614",
            "telephone_number": "409-761-3200",
            "fax_number": "409-761-3209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Lilac Dr Apt 2",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146203250",
            "country_code": "US",
            "telephone_number": "407-625-6846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIPLAN RODRIGUEZ",
        "first_name": "MARIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-14",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q0245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.