| Luis Hernandez Rodriguez, MD | |
| 
					7649 W Colonial Dr Ste 115, Orlando, FL 32818-7423  | |
| (407) 522-2080 | |
| (833) 963-0115 | 
| Full Name | Luis Hernandez Rodriguez | 
|---|---|
| Gender | Male | 
| Speciality | General Practice | 
| Location | 7649 W Colonial Dr Ste 115, Orlando, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245979160 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208D00000X | General Practice | 15808 (Puerto Rico) | Secondary | 
| 208D00000X | General Practice | 022794 (Puerto Rico) | Secondary | 
| 208D00000X | General Practice | ACN1458 (Florida) | Primary | 
| Entity Name | Medical Interventions Of Central Florida Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1225036460 PECOS PAC ID: 2264328855 Enrollment ID: O20040223000065  | 
| Entity Name | Centerwell Senior Primary Care Fl Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1487686705 PECOS PAC ID: 9830184738 Enrollment ID: O20040419001657  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Luis Hernandez Rodriguez, MD 7649 W Colonial Dr Ste 115, Orlando, FL 32818-7423 Ph: (407) 522-2080  | Luis Hernandez Rodriguez, MD 7649 W Colonial Dr Ste 115, Orlando, FL 32818-7423 Ph: (407) 522-2080  | 
Baha Aldeen Bani Fawwaz, MBBS General Practice Medicare: Medicare Enrolled Practice Location: 2501 N Orange Ave Ste 235, Orlando, FL 32804 Phone: 407-303-7270  | |
Dr. Nhung Thi Tran, M.D General Practice Medicare: Not Enrolled in Medicare Practice Location: 4000 Central Florida Blvd, Orlando, FL 32816 Phone: 407-823-2098 Fax: 407-823-6932  | |
Dr. Marcos Antonio Rivera Roman, MD General Practice Medicare: Medicare Enrolled Practice Location: 1130 S Semoran Blvd Ste B-c, Orlando, FL 32807 Phone: 407-382-1376  | |
Dr. Juan Carlos Cantu, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 7359 Lake Underhill Rd, Orlando, FL 32822 Phone: 407-900-9284 Fax: 407-203-8887  | |
Dr. Miguel Angel Pereira Sosa, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 6210 W Colonial Dr Ste 100, Orlando, FL 32808 Phone: 407-931-0444 Fax: 407-962-4446  | |
Abhishek Mishra, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 12301 Lake Underhill Rd Ste 215, Orlando, FL 32828 Phone: 321-235-0692 Fax: 321-235-0694  | |
Dr. Dariusz Grzegorz Mydlarz, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6336 W Colonial Dr, Orlando, FL 32818 Phone: 407-219-5200 Fax: 321-281-8700  |