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CRES A RODRIGUEZ MD PA NPI 1720010283


NPI Information

NPI: 1720010283
Provider Name: CRES A RODRIGUEZ MD PA

Doing Business As: ADULT & GERIATRIC MEDICAL CARE, P.A.

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
7001 N DALE MABRY HWY
SUITE 11
TAMPA, FL
ZIP 33614
Phone: (813) 915-5555
Get Directions

CRES A RODRIGUEZ MD PA is a geriatric medicine internal medicine in Tampa, FL. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. CRES A RODRIGUEZ MD PA NPI is 1720010283. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Adult & Geriatric Medical Care, P.a..

The provider's business location address is:

7001 N DALE MABRY HWY
SUITE 11
TAMPA, FL
ZIP 33614-910
Phone: (813) 915-5555
Fax: (813) 931-7508

The provider's authorized official is Cres Antonio Rodriguez .
The authorized official title is President and has the following contact phone number (813) 915-5555.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 1/3/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric MedicineME51442FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1047016300MEDICAIDFLORIDA
204832MEDICARE ID-TYPE UNSPECIFIED
3E19677MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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