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DR. TAMARA IVELISSE GUZMAN RODRIGUEZ MD
NPI 1063443612
General Practice in Davenport, FL

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
130 RIDGE CENTER DR, DAVENPORT, FL 33837(866) 234-8534 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2023, Aug 31, 2022, May 17, 2022 and 2 more (5 updates tracked since 2020).

About Dr. Tamara Ivelisse Guzman Rodriguez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TAMARA IVELISSE GUZMAN RODRIGUEZ MD (NPI 1063443612) is an individual general practice provider in Davenport, Florida, licensed in Florida (ACN 448) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1063443612
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. TAMARA IVELISSE GUZMAN RODRIGUEZCredential: MD
Location Address130 RIDGE CENTER DRDavenport, FL 33837-6413
Mailing Address47 5th St NwWinter Haven, FL 33881-4672 · (866) 234-8534
Phone(866) 234-8534
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 5, 2006
Last NPPES UpdateMarch 7, 20235 updates tracked since enumeration
NPPES CertifiedAugust 31, 2022
✔ NPI 1063443612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in FL · ACN 448✔ Licensed in PR · 15632
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
130 RIDGE CENTER DR, Davenport, FL 33837
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Other Identifiers 2

Medicaid1063443612FL
OtherACN 448FL · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Health First Commercial Plans, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tamara Ivelisse Guzman Rodriguez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284658378
PECOS Enrollment IDI20220331000493
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Tamara Guzman Rodriguez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Florida Health Care, Inc.
Same address
Federally Qualified Health Center (FQHC)
130 RIDGE CENTER DR
Davenport, FL 33837
  • Reassigned Medicare billing, Florida enrollment
  • 165 clinicians in this Medicare group
NPI 1194495614 (866) 234-8534
Bella Vista Hospital Inc
General Acute Care Hospital
CARR 349 KM 2.7, CERRO LAS MESAS
Mayaguez, PR 00680
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 55 clinicians in this Medicare group
NPI 1083636179 (787) 834-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTRAL FLORIDA HEALTH CARE, INC.
Clinic/Center (Multi-Specialty)
130 RIDGE CENTER DR
DAVENPORT, FL 33837
Polk County (866) 234-8534
DR. SCARLETTE A GARCIA-AVILA MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
130 RIDGE CENTER DR
DAVENPORT, FL 33837
Polk County (866) 234-8535
CENTRAL FLORIDA HEALTH CARE, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
130 RIDGE CENTER DR
DAVENPORT, FL 33837
Polk County (866) 234-8534
EDMUND KWESI ANDAH MD
Obstetrics & Gynecology
130 RIDGE CENTER DR
DAVENPORT, FL 33837
Polk County (866) 234-8534
CENTRAL FLORIDA HEALTH CARE, INC.
Clinic/Center (Multi-Specialty)
130 RIDGE CENTER DR
DAVENPORT, FL 33837
Polk County (866) 234-8534
DAYANARA E REYES RODRIGUEZ
Dietitian, Registered
130 RIDGE CENTER DR
DAVENPORT, FL 33837
Polk County (866) 234-8534
KEVIN CARLO MONTALBO MANALO FNP-C
Nurse Practitioner (Family)
130 RIDGE CENTER DR
DAVENPORT, FL 33837
Polk County (866) 234-8534
FARRAH SEPEHRI APRN
Nurse Practitioner (Pediatrics)
130 RIDGE CENTER DR
DAVENPORT, FL 33837
Polk County (866) 234-8534

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tamara Guzman Rodriguez's NPI number?

The NPI number for Tamara Guzman Rodriguez is 1063443612. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Tamara Guzman Rodriguez located?

Tamara Guzman Rodriguez practices at 130 Ridge Center Dr, Davenport, FL 33837. The listed phone number is (866) 234-8534.

What is Tamara Guzman Rodriguez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Tamara Guzman Rodriguez enrolled in Medicare?

Yes. Tamara Guzman Rodriguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tamara Guzman Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tamara Guzman Rodriguez reassigns Medicare benefits to 2 organizations: Central Florida Health Care, Inc. (Davenport, FL) and Bella Vista Hospital Inc (Mayaguez, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tamara Guzman Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tamara Guzman Rodriguez accept?

Health plans from Ambetter Health, Ambetter of Alabama, Health First Commercial Plans, Inc., Molina Healthcare and Wellpoint list Tamara Guzman Rodriguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tamara Guzman Rodriguez was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.