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1790232361

NPI Code Detail

MEDICARE: CARLOS ENRIQUE BERTRAN RODRIGUEZ MD

MEDICARE: CARLOS ENRIQUE BERTRAN RODRIGUEZ MD

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	207RG0100X	Gastroenterology Physician	ME150595	FL
2	208M00000X	Hospitalist Physician	ME150595	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
2	HPZ8H	OTHER	FL	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790232361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS ENRIQUE BERTRAN RODRIGUEZ MD

Provider Business Mailing Address
First Line	:	1862 SIPES ALY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32814-6372
Country	:	US
Telephone Number	:	787-245-7623
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 E ROLLINS ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-1248
Country	:	US
Telephone Number	:	787-245-7623
Fax Number	:

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

Provider Enumeration Date	:	09/01/2016
Last Update Date	:	05/13/2026

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Directions to “ CARLOS ENRIQUE BERTRAN RODRIGUEZ MD” 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.

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