DR. RICARDO E RODRIGUEZ (NPI# 1336243708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336243708 |
| Entity Type | Individual |
| Full Name | DR. RICARDO E RODRIGUEZ |
| Credential | M.D. |
| Practice Address |
619 S Marion Ave Lake City FL 32025 |
| Mailing Address |
164 Sw Crescent Street Lake City FL 32025 |
| Practice Telephone | 3867553016 |
| Practice Fax Number | 3867546348 |
| Mailing Telephone | 3867540130 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME 51985 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | UROLOGIST | ME 51985 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015507 | Ricardo Alfonso Rodriguez | Physical Therapist | 1034 N Broadway Ste 204, Yonkers, NY 10701-1328 | 2018-06-01 |
| 1003275165 | Ricardo Rodriguez | Optometrist | 5225 Las Colinas Blvd Apt 4060, Irving, TX 75039-4581 | 2016-02-17 |
| 1568711414 | Ricardo Rodriguez | Community Health Worker | 3180 Center St., Salem, OR 97301 | 2012-09-06 |
| 1477655710 | Ricardo Luis Rodriguez | General Practice | Go35 Ave Campo Rico, Country Club, Carolina, PR 00982-2678 | 2006-09-05 |
| 1467471821 | Ricardo E Rodriguez | Specialist | 318 E Westfield Ave, Roselle Park, NJ 07204-2318 | 2006-07-18 |
| 1356309686 | Ricardo Rodriguez Sr. | Dentist | Edificio Guayacan Calle Jose C Vasquez #202, Suite 111, Aibonito, PR 00705 | 2006-05-03 |
| 1457314957 | Ricardo A Rodriguez | Physical Medicine & Rehabilitation | Bg176 Calle 54, Rio Grande, PR 00745 | 2006-04-07 |
| 1427538784 | Ricardo A Rodriguez | Nurse Practitioner | 6801 Mcpherson Rd Ste 220, Laredo, TX 78041-6403 | 2018-08-16 |
| 1073093639 | Ricardo Rodriguez | Licensed Vocational Nurse | 2715 Cornerstone Blvd, Edinburg, TX 78539-8464 | 2018-08-14 |
| 1184123374 | Ricardo Rodriguez | Physical Therapist | 7430 Remcon Cir Bldg A, El Paso, TX 79912 | 2018-02-02 |
| Street Address |
619 S MARION AVE |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275520660 | Kay B Ramnarine | Counselor | 619 S Marion Ave, Lake City, FL 32025-5808 | 2005-09-30 |
| 1104442441 | Danielle Marie Howard | Student in an Organized Health Care Education/Training Program | 619 S Marion Ave, Lake City, FL 32025-5808 | 2020-06-23 |
| 1427672617 | James Wooley | Recreation Therapist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2020-06-03 |
| 1316573611 | Tara S. Keen | Nurse Practitioner | 619 S Marion Ave, Lake City, FL 32025-5808 | 2020-03-18 |
| 1023653086 | Yen Margaret Dao Barnes | Pharmacist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2019-11-14 |
| 1790328847 | Brittni Cleland | Dance Therapist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2019-10-22 |
| 1801447800 | Warrenette Yvette Kelly | Social Worker | 619 S Marion Ave, Lake City, FL 32025-5808 | 2019-09-23 |
| 1982263117 | Katherine Susannah Mary Thomas | Optometrist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2019-06-11 |
| 1952871220 | Michael Canard | Social Worker | 619 S Marion Ave, Lake City, FL 32025-5808 | 2018-11-29 |
| 1174009914 | Ashlyn Elizabeth Kerce | Pharmacist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2018-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| 1437579372 | Shara Evans | Specialist | 501 Nw Lake City Ave, Apt 103, Lake City, FL 32055 | 2014-04-18 |
| 1073959136 | Vernon Taylor Smith | Specialist | 2537 Elk Road, Lake City, CO 81235 | 2013-05-16 |
| 1346478989 | Tiffani Mote | Specialist | 315 Sw Pheasant Way, Lake City, FL 32024-1146 | 2009-06-22 |
| 1972790517 | Jorga Snyder Duran | Specialist | 214 Se Tribble St, Lake City, FL 32025-0108 | 2007-09-27 |
| 1326239179 | Michelle Caroline Hatton | Specialist | 4852 S Us Highway 441, Lake City, FL 32025-0310 | 2007-08-07 |
| 1023210986 | North Fl Arthritis Clinic, Pa. | Specialist | 4551 W Est Us 90, Suite 102, Lake City, FL 32055 | 2007-06-04 |
| 1023102555 | Pastor H. Rios, Md | Specialist | 449 Se Baya Drive, Lake City, FL 32025 | 2006-10-02 |
| 1447352760 | Juan R Baralt | Specialist | 619 South Marion, Lake City, FL 32025-5808 | 2006-09-05 |
| 1457376055 | William Clark Griggs | Specialist | 238 East Main Street, Lake City, SC 29560 | 2006-07-13 |
| Find all providers in LAKE CITY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.