Organization Active NPI

Arturo Rodriguez-Martin MD PL

  • Family Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1962445767
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME79916 Issued in FL
Legal business name
ARTURO RODRIGUEZ-MARTIN MD PL
Practice address
22099 Elmira Blvd
Port Charlotte, FL 33952-7018
Phone
(941) 613-1356
Fax
(941) 613-1591
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Authorized official

Name
Arturo Rodriguez-Martin, MD PLNPI 1184605495
Title
Owner/Physician
Phone
(941) 613-1356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME79916 FL Primary

Addresses

Primary practice location

22099 Elmira Blvd
Port Charlotte, FL 33952-7018

Mailing address

PO Box 496016
Port Charlotte, FL 33949-6016
Phone (941) 625-1275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040916000067 FL Part B Supplier - Clinic/Group Practice 0941277198 Receives reassigned benefits from 2 practitioners
Practice locations: Port Charlotte, FL

National Provider Directory

National Provider Directory

Locations

2885 Tamiami Trl
Pt Charlotte, FL 33952
Phone (941) 624-7271

2525 Harbor Blvd
Ste 301
Pt Charlotte, FL 33952
Phone (941) 421-0756

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1962445767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496016",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339496016",
            "telephone_number": "941-625-1275",
            "fax_number": "941-625-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22099 ELMIRA BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339527018",
            "telephone_number": "941-613-1356",
            "fax_number": "941-613-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTURO RODRIGUEZ-MARTIN MD PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ-MARTIN",
        "authorized_official_first_name": "ARTURO",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "941-613-1356",
        "authorized_official_credential": "MD PL"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME79916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.