Individual provider Active NPI

Luis G. Del Pilar Rodriguez, M.D.

  • Obstetrics & Gynecology Physician
  • Orlando, FL
National Provider Identifier
1922454354
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
31901-R Issued in PR
Practice address
4170 W Town Center Blvd Ste 104
Orlando, FL 32837-5875
Phone
(407) 776-8410
NPI assigned
May 4, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 31901-R PR Primary

Addresses

Primary practice location

4170 W Town Center Blvd Ste 104
Orlando, FL 32837-5875

Mailing address

4170 W Town Center Blvd Ste 104
Orlando, FL 32837-5875
Phone (407) 776-8410

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
I20190402000367 FL Practitioner - Obstetrics/Gynecology 3375839541 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31901-RPRMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Obstetrics & Gynecology CurrentSince Jun 10, 2019 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jun 10, 2019 Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1801 Lee Rd
Ste 165
Winter Park, FL 32789
Phone (407) 975-0406

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: luis.del.pilar.rodriguez.1@18394.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1922454354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 W TOWN CENTER BLVD STE 104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328375875",
            "telephone_number": "407-776-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 W TOWN CENTER BLVD STE 104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328375875",
            "telephone_number": "407-776-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL PILAR RODRIGUEZ",
        "first_name": "LUIS",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "31901-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.