Look up the most recent NPI and PECOS records

Andrea Rodriguez

Internal Medicine

Allopathic & Osteopathic Physicians

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

PECOS Enrollment

Based on the most recent information from CMS, provider Andrea Rodriguez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1518200401
Provider Type
Individual
Full Name
Rodriguez, Andrea
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
3/29/2013
Last Updated
12/13/2017

Contact Information

Practice Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Mailing Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RG0100X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME126993 Florida

Andrea Rodriguez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Laoveeravat, Passisd

Gomez, Victoria

Bi, Yan

Loeb, David

Li, Tian

Bouras, Ernest

Keaveny, Andrew

Okafor, Philip Nnamdi

Travers, Paul M

Osagiede, Osayande