MEDICARE: JUAN RODRIGUEZ-RODRIGUEZ M.D.

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	207R00000X	Internal Medicine Physician	K6271	TX
2	207R00000X	Internal Medicine Physician	ME 94922	FL

General Provider Information

NPI Number	:	1447237292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUAN RODRIGUEZ-RODRIGUEZ M.D.

Provider Business Mailing Address
First Line	:	306 E OAK ST
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-4537
Country	:	US
Telephone Number	:	407-343-2700
Fax Number	:	407-343-4807

Provider Business Practice Location Address
First Line	:	5997 S GOLDENROD RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-8775
Country	:	US
Telephone Number	:	407-856-1900
Fax Number	:

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

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	03/23/2026

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