JENNIFER E MATOS-RODRIGUEZ (NPI# 1063795706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063795706 |
| Entity Type | Individual |
| Full Name | JENNIFER E MATOS-RODRIGUEZ |
| Credential | M.D. |
| Practice Address |
5880 49th St N Suite N-104 St Petersburg FL 33709-2150 |
| Practice Telephone | 7275286100 |
| Practice Fax Number | 7275287895 |
| Mailing Telephone | 7275286100 |
| Mailing Fax Number | 7275287895 |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME109784 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | FN139Y | 01 | |
| FL | 004060600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2191 9th Ave N Ste 105, St Petersburg, FL 337137147 | 7275286100 | 7275287895 |
| Street Address |
5880 49TH ST N SUITE N-104 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33709-2150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457322844 | David H Silverstein | Specialist | 5880 49th St N, Suite N-207, St Petersburg, FL 33709-2150 | 2006-02-01 |
| 1568728921 | Manishi G Mukherjee Md Pa | Obstetrics & Gynecology | 5880 49th St N, St Petersburg, FL 33709-2150 | 2012-04-10 |
| 1508138314 | Fermina Alia Pirmohamed | Psychiatry & Neurology | 5880 49th St N, Ste 104, St Petersburg, FL 33709-2150 | 2012-02-09 |
| 1407188527 | David H. Silverstein, Md, Pa | Specialist | 5880 49th St N, Suite N-207, St Petersburg, FL 33709-2150 | 2010-02-01 |
| 1235386772 | Pinellas Internal Medicine Specialists, Pa | Specialist | 5880 49th St N, Suite N105, St Petersburg, FL 33709-2150 | 2008-08-27 |
| 1548417488 | Vilas Deshpande M.d., Pa | Specialist | 5880 49th St N, Suite 101-n, St Petersburg, FL 33709-2150 | 2008-08-22 |
| 1073773206 | Leah Jacqueline Stubblefield | Physician Assistant | 5880 49th St N, Ste 104, St Petersburg, FL 33709-2150 | 2008-06-11 |
| 1194931832 | Angelo M Alves | Psychiatry & Neurology | 5880 49th St N, Suite 108, St Petersburg, FL 33709-2142 | 2007-05-16 |
| 1013035146 | American Family & Geriatric Care Pa | Internal Medicine | 5880 49th St N, Suite 101 N, St Petersburg, FL 33709-2150 | 2007-03-27 |
| 1003914284 | Anthony Stanek Albert | Orthopaedic Surgery | 5880 49th St N, Ste 104, St Petersburg, FL 33709-2150 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609294776 | Aria Health and Wellness Institute LLC | Psychiatry & Neurology | 115 1st St S, St Petersburg, FL 33701-4383 | 2014-04-04 |
| 1730312943 | Heather Herrema | Psychiatry & Neurology | 2201 Central Ave Ste 200, St Petersburg, FL 33713-8844 | 2009-09-03 |
| 1699875898 | Gordon J Gilbert | Psychiatry & Neurology | 500 Pasadena Ave S, St Petersburg, FL 33707-2191 | 2006-09-25 |
| 1053394270 | Garcia Jose Desousa | Psychiatry & Neurology | 3334 66th St N, St Petersburg, FL 33710-1539 | 2005-11-22 |
| 1609861798 | Daniel B. Bell | Psychiatry & Neurology | 2201 Central Ave, Suite 200, St Petersburg, FL 33713-8844 | 2005-09-14 |
| 1326487174 | Leana Oppenheim | Psychiatry & Neurology | 1201 5th Ave N Ste 202, St Petersburg, FL 33705-1410 | 2013-06-14 |
| 1508138314 | Fermina Alia Pirmohamed | Psychiatry & Neurology | 5880 49th St N, Ste 104, St Petersburg, FL 33709-2150 | 2012-02-09 |
| 1205128998 | Jason Antonio Williams | Psychiatry & Neurology | 2201 Central Ave, Suite 200, St Petersburg, FL 33713-8844 | 2011-05-12 |
| 1427372721 | Khalilah Weston | Psychiatry & Neurology | 995 16th St N, St Petersburg, FL 33705 | 2010-03-16 |
| 1629390471 | Meghna Kumar-pelayo | Psychiatry & Neurology | 1201 5th Ave N, Suite 202, St Petersburg, FL 33705-1410 | 2010-02-22 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33709 |
Please comment or provide details below to improve the information on JENNIFER E MATOS-RODRIGUEZ.
| 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.