Charlie Obert Colon Rodriguez, is a
Student In An Organized Health Care Education/training Program based in Kissimmee, Florida. Charlie Obert Colon Rodriguez is licensed to practice in * (Not Available) (license number ) and his current practice location is
2980 Park Pond Way Fl 34741, Kissimmee, Florida. He can be reached at his office (for appointments etc.) via phone at
(407) 930-4711.
NPI number for Charlie Obert Colon Rodriguez is 1235856147 and his current mailing address is 330 Springview Dr, Sandford, Fl 32773, Sandford, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235856147.
Healthcare Provider's Profile
Full Name | Charlie Obert Colon Rodriguez |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2980 Park Pond Way Fl 34741, Kissimmee, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235856147
- Provider Enumeration Date: 10/21/2022
- Last Update Date: 10/21/2022
Medical Identifiers
Medical identifiers for Charlie Obert Colon Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235856147 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charlie Obert Colon Rodriguez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Charlie Obert Colon Rodriguez, 330 Springview Dr, Sandford, Fl 32773, Sandford, FL 32773 Ph: (787) 685-9113 | Charlie Obert Colon Rodriguez, 2980 Park Pond Way Fl 34741, Kissimmee, FL 34741-7660 Ph: (407) 930-4711 |
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