MEDICARE: MR. JORGE A 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	207X00000X	Orthopaedic Surgery Physician	ME64476	FL
2	207XS0106X	Orthopaedic Hand Surgery Physician	ME64476	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	:	1922072461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JORGE A RODRIGUEZ M.D.

Provider Business Mailing Address
First Line	:	1001 37TH ST N STE C
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33713-6010
Country	:	US
Telephone Number	:	727-201-9718
Fax Number	:	727-201-8513

Provider Business Practice Location Address
First Line	:	1001 37TH ST N STE C
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33713-6010
Country	:	US
Telephone Number	:	727-201-9718
Fax Number	:	727-201-8513

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

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	03/08/2026

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