| Dr Alexander Rodriguez, MD | |
|
106 Park Place Blvd Ste C, Davenport, FL 33837-6868 | |
| (863) 588-4775 | |
| (863) 422-7664 |
| Full Name | Dr Alexander Rodriguez |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 21 Years |
| Location | 106 Park Place Blvd Ste C, Davenport, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548480825 | NPI | - | NPPES |
| ACN534 | Other | FL | MEDICAL LICENSE FLORIDA |
| 16424 | Other | PR | PR MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 16424 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | ACN534 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Heart Of Florida | Davenport, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Soni Family Practice Pllc | 8224274840 | 8 |
| Entity Name | Soni Family Practice Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083957583 PECOS PAC ID: 8224274840 Enrollment ID: O20130425000711 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alexander Rodriguez, MD Po Box 878, Davenport, FL 33836-0878 Ph: (689) 223-3898 | Dr Alexander Rodriguez, MD 106 Park Place Blvd Ste C, Davenport, FL 33837-6868 Ph: (863) 588-4775 |
Dr. Jordan Martinez, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 40100 Highway 27, Davenport, FL 33837 Phone: 863-422-4971 | |
Dr. Tamara Ivelisse Guzman Rodriguez, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 130 Ridge Center Dr, Davenport, FL 33837 Phone: 866-234-8534 | |
Dr. Enrique Rafael Martinez-lugo, MD General Practice Medicare: Medicare Enrolled Practice Location: 106 Park Place Blvd Ste C, Davenport, FL 33837 Phone: 863-588-4775 Fax: 863-422-7664 | |
Teodoro Medina, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 111 Webb Dr, Davenport, FL 33837 Phone: 863-421-9447 Fax: 863-421-1806 | |
Wolf Karl Von Waagner, MD General Practice Medicare: May Accept Medicare Assignments Practice Location: 2306 North Blvd W Ste C, Davenport, FL 33837 Phone: 863-547-9200 Fax: 863-547-9221 | |
Mrs. Melissa Aime Rivera Santiago, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 40230 U.s. 27 N, Ste 130, Davenport, FL 33837 Phone: 352-259-2159 | |
Dr. Luis Miguel Nunez Arroyo, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 2306 North Blvd W, Davenport, FL 33837 Phone: 863-547-9200 Fax: 863-547-9221 |