MEDICARE: DAMARIS RODRIGUEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265194948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAMARIS RODRIGUEZ

Provider Business Mailing Address
First Line	:	1222 BERMUDA LAKES LN UNIT 202
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34741-2165
Country	:	US
Telephone Number	:	407-346-6620
Fax Number	:

Provider Business Practice Location Address
First Line	:	1222 BERMUDA LAKES LN UNIT 202
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34741-2165
Country	:	US
Telephone Number	:	407-346-6620
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2021
Last Update Date	:	10/09/2021

Similar Medicare Providers

1003207341 — REGINE CADET-JEAN M.ED
Practice Location Address:

4507 MACKENZIE WAY
KISSIMMEE, FL
34758-2165

Practice Phone: 407-591-0338
Practice Fax:

1053170696 — ELIAN CORDOVA
Practice Location Address:

720 W OAK ST STE 201
KISSIMMEE, FL
34741-4998

Practice Phone: 407-518-2703
Practice Fax:

1174562045 — PUBLIX SUPER MARKETS INC
Practice Location Address:

1910 N JOHN YOUNG PKWY
KISSIMMEE, FL
34741-3221

Practice Phone: 407-870-2446
Practice Fax: 407-870-1793

1073372637 — ELENA PHAM
Practice Location Address:

720 W OAK ST
KISSIMMEE, FL
34741-4989

Practice Phone: 407-518-2703
Practice Fax:

1639846454 — TIFFANY MARIE LOCK APRN
Practice Location Address:

804 EMMETT ST
KISSIMMEE, FL
34741-5434

Practice Phone: 407-785-1111
Practice Fax: 407-553-3061

1881520237 — CONNECTIONS COUNSELING SERVICES, LLC
Practice Location Address:

109 N BEAUMONT AVE
KISSIMMEE, FL
34741-5120

Practice Phone: 407-346-4504
Practice Fax: 888-375-4504

Directions to “ DAMARIS RODRIGUEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.