DR. MICHAEL GERARDO LEON RODRIGUEZ MD - NPI 1700468535

Q: What is Michael Leon Rodriguez's NPI number?

The NPI number for Michael Leon Rodriguez is 1700468535. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Q: What is Michael Leon Rodriguez's specialty?

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

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About Dr. Michael Gerardo Leon Rodriguez Md NPPES

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

DR. MICHAEL GERARDO LEON RODRIGUEZ MD (NPI 1700468535) is an individual general practice provider in Orlando, Florida, licensed in Florida (ACN1439) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1700468535

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. MICHAEL GERARDO LEON RODRIGUEZCredential: MD

Location Address810 N NOWELL STOrlando, FL 32808-7539

Mailing Address425 W Colonial Dr Ste 303Orlando, FL 32804-6863 · (321) 332-6947 · Fax (407) 286-4515

Phone(407) 842-8283

Fax(786) 513-3731

Sole ProprietorYes

Medical School CMSOtherGraduated 1997

Enumeration DateApril 21, 2021

Last NPPES UpdateAugust 14, 20245 updates tracked since enumeration

NPPES CertifiedAugust 14, 2024

✔ NPI 1700468535 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 · ACN1439✔ Licensed in PR · 022654

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

810 N NOWELL ST, Orlando, FL 32808

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Secondary Practice Locations 2

Location 1Estancias del Blvd Garden, 3F2San Juan, PR 00926-6013 · Phone (863) 934-5634

Location 221 S Charles Richard Beall BlvdDebary, FL 32713-3332 · Phone (386) 516-0930 · Fax (386) 668-6897

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Gerardo Leon Rodriguez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921489154

PECOS Enrollment IDI20240515000032

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 8

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

DR. DORISBEL MATOS LIZARDO MD

General Practice