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: July 26, 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
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

Other Identifiers 2

Medicaid1063443612FL
OtherACN 448FL · License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

Other Providers at the Same Location NPPES 15

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

Clinic/Center (Multi-Specialty)
130 RIDGE CENTER DR
DAVENPORT, FL 33837
Internal Medicine (Endocrinology, Diabetes & Metabolism)
130 RIDGE CENTER DR
DAVENPORT, FL 33837
Clinic/Center (Federally Qualified Health Center (FQHC))
130 RIDGE CENTER DR
DAVENPORT, FL 33837
Obstetrics & Gynecology
130 RIDGE CENTER DR
DAVENPORT, FL 33837
Clinic/Center (Multi-Specialty)
130 RIDGE CENTER DR
DAVENPORT, FL 33837
Dietitian, Registered
130 RIDGE CENTER DR
DAVENPORT, FL 33837
Nurse Practitioner (Family)
130 RIDGE CENTER DR
DAVENPORT, FL 33837
Nurse Practitioner (Pediatrics)
130 RIDGE CENTER DR
DAVENPORT, FL 33837

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.

What insurance does Tamara Guzman Rodriguez accept?

Health plans from 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 with the weekly NPPES data releases published by CMS.