Wilfredo Rodriguez DMD PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WILFREDO RODRIGUEZ DMD PA

Doing business as

East West Dental Orlando

Practice address

201 S Semoran Blvd
Orlando, FL 32807-3288

Phone

(407) 275-5844

Fax

(407) 658-6551

NPI assigned

Aug 21, 2020

Last updated

Aug 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wilfredo Rodriguez, DMDNPI 1588675615

Title

Owner/Dentist

Phone

(407) 275-5844

Specialties & licenses 1

Addresses

Other names 1

• East West Dental Orlando Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wilfredo Rodriguez, DMD

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1588675615
  NPD Authorized official
• Maria Del Rosario Martinez Polo, DDS

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1235029356
  NPD (past)

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1942812730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073288",
            "telephone_number": "407-275-5844",
            "fax_number": "407-658-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073288",
            "telephone_number": "407-275-5844",
            "fax_number": "407-658-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILFREDO RODRIGUEZ DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "WILFREDO",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "407-275-5844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East West Dental Orlando",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth R Wilder, DO
• Kaley Wilder, ATC
• Terry L Wilder, APRN
• Sherie J Wildermuth
• Kayla Donn Wilfley
• Marc Richard Wilhelm, ARNP
• Ashley Wilke
• Alyssa Wilkerson
• Benny Ray Wilkerson, PA
• Caitlyn Wilkerson

• Durable Medical Equipment & Medical Supplies in Orlando, FL
• Providers in Orlando, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.