MEDICARE: DR. KEILA MILAGROS DIAZ RODRIGUEZ MD, MPH

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	19768	PR
2	208D00000X	General Practice Physician	19768	PR
3	207R00000X	Internal Medicine Physician	ME154185	FL

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	:	1548785488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEILA MILAGROS DIAZ RODRIGUEZ MD, MPH

Provider Business Mailing Address
First Line	:	2000 FOWLER GROVE BLVD
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787
Country	:	US
Telephone Number	:	407-347-0774
Fax Number	:	407-347-0775

Provider Business Practice Location Address
First Line	:	2000 FOWLER GROVE BLVD
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787
Country	:	US
Telephone Number	:	407-347-0774
Fax Number	:	407-347-0775

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

Provider Enumeration Date	:	08/11/2017
Last Update Date	:	04/15/2026

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