DR. GOTARDO ALENCAR RODRIGUES (NPI# 1396797692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396797692 |
| Entity Type | Individual |
| Full Name | DR. GOTARDO ALENCAR RODRIGUES |
| Credential | M.D. |
| Practice Address |
78 Sw 13th Ave Suite 200 Miami FL 33135-2479 |
| Mailing Address |
2234 Colonial Blvd Attn: Payer Contracting & Relations Dept. Fort Myers FL 33907-1412 |
| Practice Telephone | 3056426966 |
| Practice Fax Number | 3056426965 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2016-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME0069345 | FL | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
ME69345 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 251480000 | 05 | |
| FL | OPTIMUM | P971527 | 01 |
| FL | AETNA | 7509277 | 01 |
| FL | BCBS | 32838 | 01 |
| FL | AVMED | 278877 | 01 |
| FL | DIMENSION HEALTH | 14428 | 01 |
| FL | AVMED | 214615 | 01 |
| FL | 268089100 | 05 | |
| FL | CIGNA | 4079983 | 01 |
| FL | RR MEDICARE | P01594401 | 01 |
| FL | FREEDOM | P1035761 | 01 |
| Street Address |
78 SW 13TH AVE SUITE 200 |
| City | MIAMI |
| State | FL |
| Zip Code | 33135-2479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780672923 | Raul Ravelo | Radiology | 78 Sw 13th Ave, Suite 201, Miami, FL 33135-2479 | 2005-10-12 |
| 1467820837 | Genesiscare Usa of Florida LLC | Internal Medicine | 78 Sw 13th Ave, Suite 200, Miami, FL 33135-2479 | 2015-09-02 |
| 1700280708 | Sfm Radiation IIi LLC | Radiology | 78 Sw 13th Ave, Suite 100, Miami, FL 33135-2479 | 2014-10-20 |
| 1083847727 | Romulo Clavelo M D P A | General Practice | 78 Sw 13th Ave, Suite 201, Miami, FL 33135-2479 | 2009-08-28 |
| 1285875625 | Federico Dumenigo, Md, Pa | Internal Medicine | 78 Sw 13th Ave, Suite 201, Miami, FL 33135-2479 | 2009-03-16 |
| 1962581017 | Carlos Arturo Noguera | Internal Medicine | 78 Sw 13th Ave, Suite 200, Miami, FL 33135-2479 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601430 | Milagros Diaz Rodriguez | Behavior Technician | 1250 Sw 27 Ave, Suite 207, Miami, FL 33135 | 2020-02-20 |
| 1932739364 | Elizabeth Perez Vazquez | Behavior Technician | 1250 Sw 27 Ave Suite 207, Miami, FL 33135 | 2020-01-24 |
| 1134691660 | A&n Pharmacy Inc | Pharmacy | 1701 W. Flagler St, Suite 322, Miami, FL 33135 | 2018-12-21 |
| 1669952610 | Ileana Norma Rodriguez | Behavior Technician | 890 Sw 36th Ct, Miami, FL 33135 | 2018-08-20 |
| 1053801761 | Humberto Marchante | Massage Therapist | 327 Sw 30th Ave, Miami, FL 33135 | 2018-05-17 |
| 1336654904 | Daniela Vega | Behavior Technician | 1401 Sw 1 Street, Suite 100, Miami, FL 33135 | 2017-12-05 |
| 1609387133 | Latin Quarter Dental Pa | Clinic/Center | 1660 Sw 1 St, Miami, FL 33135 | 2017-10-24 |
| 1588173074 | Mildred E Meneses | Behavior Technician | 1971 Sw 4th St Apart 406, Miami, FL 33135 | 2017-09-27 |
| 1902320666 | Betzabeth Paredes | Behavior Technician | 429 Sw 29 Ave, Miami, FL 33135 | 2017-08-02 |
| 1386174977 | Milkos Ramon Hernandez Alvarez. | Nurse Practitioner | 2999 West Flagler St, Apt 10, Miami, FL 33135 | 2017-06-15 |
| Find all providers in zip 33135 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720342371 | Vinay Minocha | Internal Medicine | 1475 Nw 12th Ave Fl 1, Miami, FL 33136-1002 | 2012-06-28 |
| 1871879064 | Frank I. Singleton, M.d. LLC | Internal Medicine | 1321 N.w. 14th St, Suite 601, Miami, FL 33125-1659 | 2011-11-01 |
| 1750517959 | Justin M. Watts | Internal Medicine | 1475 Nw 12th Ave # D8-4, Miami, FL 33136-1002 | 2009-06-03 |
| 1780852848 | United Oncology Medical Associates of Florida LLC | Internal Medicine | 8700 Sw 88th Street, Suite 100, Miami, FL 33176-2212 | 2008-02-12 |
| 1255457586 | John Craig Brown | Internal Medicine | 2319 Lincoln Ave, Miami, FL 33133-3926 | 2007-03-21 |
| 1447314372 | Frank Ingram Singleton Jr. | Internal Medicine | 1321 Nw 14th St Ste 601, Miami, FL 33125-1659 | 2006-12-22 |
| 1073526778 | Tariq Sabir | Internal Medicine | 1475 Nw 12th Ave Ste 2&3, Miami, FL 33136-1002 | 2006-08-14 |
| 1689681868 | Orlando E Silva | Internal Medicine | 3661 S Miami Ave Ste 301a, Miami, FL 33133 | 2006-08-01 |
| 1871544395 | Lucy Tio Chua | Internal Medicine | 1201 Nw 16th St # 111k, Miami, FL 33125-1624 | 2006-05-12 |
| 1942277868 | Pedro U De La Rosa-costa | Internal Medicine | 8525 Sw 92nd. Street, Suite: D- 15, Miami, FL 33156-5683 | 2006-03-01 |
| Find all providers in MIAMI | ||||
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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.