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DR. MARIELYS JANICE RODRIGUEZ DISTASI DMD
NPI 1760173777
Dentist in Riverview, FL

Active since May 19, 2023
10672 BLOOMINGDALE AVE UNIT 102, RIVERVIEW, FL 33578(813) 454-0776 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2026, Jun 30, 2025, Jun 27, 2025 and 1 more (4 updates tracked since 2023).

About Dr. Marielys Janice Rodriguez Distasi Dmd NPPES

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

DR. MARIELYS JANICE RODRIGUEZ DISTASI DMD (NPI 1760173777) is an individual dentist in Riverview, Florida, licensed in Florida (30649) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1760173777
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MARIELYS JANICE RODRIGUEZ DISTASICredential: DMD
Location Address10672 BLOOMINGDALE AVE UNIT 102Riverview, FL 33578-4291
Mailing Address14864 Summer Branch DrLithia, FL 33547-5130 · (813) 435-8332
Phone(813) 454-0776
Sole ProprietorNo
Enumeration DateMay 19, 2023
Last NPPES UpdateApril 8, 20264 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1760173777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · 30649
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
10672 BLOOMINGDALE AVE UNIT 102, Riverview, FL 33578
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Dominion National, Guardian and more.Insurance ›

Other Providers at the Same Location NPPES

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

GUAVA DENTAL
Clinic/Center (Dental)
10672 BLOOMINGDALE AVE UNIT 102
RIVERVIEW, FL 33578
Hillsborough County (813) 773-3601

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 Marielys Rodriguez Distasi's NPI number?

The NPI number for Marielys Rodriguez Distasi is 1760173777. It was assigned to this individual provider in the NPPES registry on May 19, 2023.

Where is Marielys Rodriguez Distasi located?

Marielys Rodriguez Distasi practices at 10672 Bloomingdale Ave Unit 102, Riverview, FL 33578. The listed phone number is (813) 454-0776.

What is Marielys Rodriguez Distasi's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Marielys Rodriguez Distasi accept?

Health plans from BEST Life, Dominion National, Guardian, Humana and UnitedHealthcare list Marielys Rodriguez Distasi 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 Marielys Rodriguez Distasi was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.